The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

1Įvadas

THE PROJECTS OF THE LITHUANIAN HEALTH SECTOR IMPLEMENTED WITH THE 2007-2013

EUROPEAN UNION FUNDS

1Introduction



© Ministry of Health of the Republic of Lithuania, 2015ISBN 978-609-437-307-7

Publishing services paid with the funds of the project Implementation of Information and Publicity Measures During the 2007-2013 European Union Structural Assistance (EU SA)Programming Period, code: VP3-4.2-FM-01-V-01-003

Approved and recommended for publication by the Ministry of Health of the Republic of Lithuania

The author of articles Assoc. Prof. Dr. Rūta Brūzgienė

Translated and edited by Rita Sliesarevaitė (UAB “Metropolio Vertimai”)

Design and layout by Laimis Kosevičius

MINISTRY OF H ALTHE

OF THE REPUBLIC OF LITHUANIA

3

contentsINTRODUCTION 4

THE FIRST MEASURE. Reduction of cardiovascular morbidity and mortality 7

THE SECOND MEASURE. Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors 31

THE THIRD MEASURE. Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance 61

THE FOURTH MEASURE. Early diagnosis of oncological diseases and complete treatment 65

THE FIFTH MEASURE. Establishment of differentiated comprehensive psychiatric help centres for children and families 77

THE SIXTH MEASURE. Modernisation of inpatient psychiatric care 89

THE SEVENTH MEASURE. Modernising the infrastructure for monitoring mental health care services 101

THE EIGHTH MEASURE. Establishment of mental health day-patient centres 107

THE NINTH MEASURE. Establishment of crisis intervention centres 141

THE TENTH MEASURE. The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services 155

THE ELEVENTH MEASURE. Development of the infrastructure of public health care services in municipalities 215

THE TWELTH MEASURE. Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services 243

4 The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

INTRODUCTIONThe Projects of the Lithuanian Health

Sector Implemented with the 2007-2013 European Union Funds is a photobook designed for the institutions of the health care sector and the general public to acquaint them with the projects administered by the Ministry of Health of the Republic of Lithuania and implemented with EU structural funds allocated for Lithuania for the period 2007-2013. The projects were implemented based on Objective 1 Providing High Quality and Accessible Health Care Services of Priority 2 Quality and Accessibility of Public Services: Health, Education and Social Infrastructure of Operational Programme for Promotion of Cohesion for 2007-2013 approved by Decision No C(2007)3738 of the European Commission of 30 July 2007, and the following programmes approved by the Ministry of Health of the Republic of Lithuania: Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 and Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure. A total of 247 projects were financed with EU funds as well as the funds of the State Investment Programme, the Compulsory Health Insurance Fund, the state budget of the Republic of Lithuania and the budgets of municipalities, with EUR 280.4 million allocated for this purpose.

After the implementation of these projects the common goal of the programmes Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 and Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure was achieved – the efficient use of EU structural funds for the period 2007-2013, the improvement of the quality and accessibility of health care services, the optimisation of the infrastructure of health care institutions and the compliance of the Lithuanian health care system with the standards of the European Union.

Non-infectious diseases such as vascular diseases and malignant tumours remain the main cause of death in Lithuania alongside deaths from external causes, including injuries, intoxication, suicides, etc. These indicators are close to those of other European Union countries. However, in terms of mortality rates (a relationship between the number of deaths from a particular disease and the number of diagnosed cases of the disease during a certain period) the health of Lithuanian population is poorer than that of the older states of the European Union. The reform of the Lithuanian national health system revealed the following key health care problems: insufficient attention to public

5Introduction

health, a lack of information about the efficiency of public health policy, the absence of the efficient public health policy system, especially in the regions, the insufficient development of modern public health care, the inadequate professional development system which failed to meet the needs of professionals and the goals of the state, the inefficient management of health risk factors. In comparison with other European Union countries, Lithuania was lagging behind in terms of disease prevention and health promotion programmes, a relatively small number of patients were treated in outpatient clinics and a relatively large number of medical services were provided in inpatient clinics, health care institutions were concentrated in the biggest cities with some regions experiencing a lack of specialists, the public health monitoring and coordination system in municipalities was no efficient.

The objectives of all investment projects were directed towards improving the quality and accessibility of health care services, investing EU funds in the modernisation of the infrastructure of health care institutions and modern technologies, reducing morbidity and mortality rates from main non-infectious diseases and from external causes. The projects

were implemented in several directions. The programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 was aimed at reducing morbidity and mortality rates form cardiovascular diseases as well as mortality and disability from traumas and external causes of death, improving the early detection of oncological diseases and providing full treatment of these diseases, optimising the infrastructure of institutions providing mental health care services. The programme Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure was aimed at improving the quality and accessibility of public and personal health care, developing outpatient services and optimising inpatient services, expanding palliative care and nursing services, modernising the infrastructure of public health care services in municipalities. It was forecasted that after the implementation of all planned projects the average life expectancy would increase from the 2005 average of 72.06 years to 73 and the mortality of people under 65 from cardiovascular diseases, malignant tumours and, especially, external causes of death (injuries, intoxication, suicides, etc.) would be reduced. In 2014, the average life expectancy in Lithuania was 74.59 years and, compared with 2007, there was a drop in the number of deaths


from vascular diseases and malignant tumours, and, especially, external causes of death among people under 65.

The implementation of the programmes Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 and Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure led to the optimisation of the structure of health care services and improvement of their quality, the intensive development of new health care services (palliative care, day surgery, etc.) and the modernisation of health care institutions, including the renovation of their buildings, the acquisition of modern diagnostic equipment and treatment facilities, the implementation of state-of-the-art treatment technologies, the deployment of contemporary public health monitoring and health promotion programmes, and the creation of better conditions for the professional development of medical staff. All these measures helped to improve the quality of public and personal health care services, their accessibility and safety, reduce mortality from external causes of death and from non-infectious diseases, and contributed to more rational use of human resources and state funds by focusing on the health care priorities of Lithuanian people.

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds presents the most important directions of investment and the implemented projects. However, the abundance of the projects makes it impossible to provide a detailed presentation of performed activities and achieved results. The Ministry of Health of the Republic of Lithuania wants to thank the Ministry of Finance of the Republic of Lithuania, the Central Project Management Agency and all implementers of the projects financed with the 2007-2013 EU funds for their hard and dedicated work aimed at implementing the projects of the Lithuanian health sector and thus contributing to the development of a prosperous and healthy Lithuania.

7Introduction

tHe FIRst MeAsURe

Reduction of cardiovascular

morbidity and mortality


As in all of Europe, cardiovascular disease has been and continues to be the main cause of death in Lithuania. It accounts for nearly half of the causes of death in Lithuania (twice as many people die from it on average than in long-time European Union countries) as well as approximately one third of the causes of disability. Cardiovascular disease is therefore one of the most pressing social, economic and health care problems in Lithuania, especially in the central and western regions of the country, where the health care infrastructure was never sorted out. These regions suffer from a shortage of medical equipment, and the equipment they do have is worn out, being used, on average, twice as intensively as in other European Union countries. Poor medical equipment was reducing the chances for accurate diagnosis of early cardiovascular disease and prescription of required or preventive treatment. Due to the irrational structure and

insufficient scope of services provided, specialised health care was not always accessible to residents, so they often did not receive proper and timely treatment. The project’s main objective and task was to reduce cardiovascular morbidity and mortality and improve the quality of — and access to — health care services in this field.

The project Reduction of cardiovascular morbidity and mortality among residents of central and western Lithuania through modernisation and optimisation of the health care infrastructure and services was carried out by the Hospital of Lithuanian University of Health Sciences Kauno Klinikos together with 33 health care facilities in the central and western regions of Lithuania. The project was carried out in a comprehensive manner, covering all levels of health care treatment (family doctors, secondary-level

Reduction of cardiovascular morbidity and mortality

9Reduction of cardiovascular morbidity and mortality

facilities, university hospitals). In implementing the project, as many as 250 family physicians were equipped with electrocardiographs, which created the opportunity to consult with medical specialists; in addition, hospital and intensive care units were renovated and supplied with modern equipment, from simple electrocardiographs to complex angiography equipment for examining the condition of the heart and blood vessels. Medical facilities were provided with radiological, echocardiography, interventional diagnostic and operating equipment. New, modern technology such as positron emission tomography, magnetic resonance imaging and multi-slice computed tomography was introduced at the Hospital of Lithuanian University of Health Sciences Kauno Klinikos; modern angioplasty, cardiac surgery and neurosurgery equipment was also purchased.

Upon implementing the project under the

measure Reduction of cardiovascular morbidity and mortality, the infrastructure of health care facilities in central and western Lithuania was modernised: primary health care facilities were equipped with electrocardiographs for treatment and prevention, the diagnostic and treatment equipment at health care facilities of all levels was updated, and modern technology was introduced at the Hospital of Lithuanian University of Health Sciences Kauno Klinikos. This entirety of comprehensive measures to modernise the infrastructure of health care facilities of all levels and optimise the diagnosis and treatment of cardiovascular disease has helped reduce residents’ morbidity and mortality and increase the duration and quality of their lives.


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava

BiržaiSkuodasJoniškis

Pasvalys

Pakruojis

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

Gargždai

i

Širvintos

Trakai

Jurbarkas

Šakiai

KaišiadorysVilkaviškis

Kalvarija

Lazdijai V

Birštonas

Priena

s

Rietavas

1. Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos

No Project promoter Project title Value of the project implemented / under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)


Project on the reduction of cardiovascular morbidity and mortality in Central and Western Lithuania through modernisation and optimisation of the infrastructure of health care system and services provided.

45,318.1 38,520.4


Anykščiai District Municipality Hospital

1. 3.

4.

5.2.

1, 2. Provision of the clinical physiology room and clinical diagnostic laboratory with new equipment. 3, 4. Acquisition of an intensive care set in the intensive care unit and echocardiograph and workstation for image analysis and processing in cardiology room. 5. Upgrading of central sterile services department.


Public institution Joniškis Hospital

6. Acquisition of medical equipment. In photo: operating automatic syringe. 7. Acquisition of a functional bed set.

7.

6.


Public institutionJoniškis Hospital

8–11. Upgrading of the medical equipment in the intensive care unit. In photos: medical ventilator, pulsed-wave Doppler, vacuum (high-pressure) pump, perfusor.

8. 9. 10.

11.


Hospital of Lithuanian University of Health sciences public institution Kauno Klinikos

13.

12.

12. New Radiological Diagnostic Centre. 13. Provision of the MRI room with new equipment.



14.

15.

16. 18.

17.

14. 99m Tc treatment room, fume hood. 15. New reception desk installed. 16. Acquisition of the only 320-slice CT scanner in the Baltic States for the computed tomography room. 17. PET treatment room, automatic injector, fume hood. 18. PET imaging in monitors.


Public institution Kelmė Hospital

19, 20. Emergency reception department established in the annex building. 21. Acquisition of otorhinolaryngology equipment with endoscopes. 22. Reconstruction of the operating room.

19.

20.

21. 22.


24.

23.

23, 24. Acquisition of echocardiography imaging tool for the echocardiography laboratory, and angiographic system for the cardiovascular radiology department.

Public institution Klaipėda seamen‘s Hospital


Public institution Marijampolė Hospital

27.

26.25.

25. Acquisition of echocardiography imaging tool for the functional diagnostic room. 26. Upgrading of the laboratory. In photo:: operating analyser. 27. Acquisition of a new intensive care bed set for the intensive care unit.


Public institution Mažeikiai Hospital

29.

30.

31.28.

28. Acquisition of a new bicycle ergometer for the hospital. 29. Renovation of the wards, acquisition of beds for the hospital. 30. Upgrading of the cardiology room. 31. Acquisition of a defibrillator.


Public institution Pakruojis Hospital

32. 33. 34.

35.

32–35. Acquisition of new medical equipment for hospital. In photos: medical ventilator, bicycle ergometer complex, vital signs monitor and echocardiography imaging tool.


39.

Public institution Pasvalys Hospital

36.

38.

37.

36. Provision of the intensive care unit with a new automatic set of syringes. 37, 38. Acquisition of intensive-care sets.39. Acquisition of a defibrillator for the hospital.


Public institution Plungė District Municipality Hospital

40.

41.

40. Renovation of the cardiology room with the equipment. 41. Acquisition of an intensive care bed set with equipment.


Public institution Prienai Hospital

45.44.

43.

42.

42, 45. Provision of the clinical laboratory with blood coagulation analyser. 43. Acquisition of a defibrillator for the day surgery, intensive care department. 44. Refurbishment of hospital wards.


Public institution Raseiniai Hospital

46.

47.

46, 47. Upgrading of the clinical laboratory and anaesthesiology, intensive care unit.


Public institution Šakiai Hospital

48. Renovation of the functional diagnostic room, acquisition of a bicycle ergometer set. 49. Provision of the intensive care unit with an intensive care set.

48.

49.


Public institution Republican Hospital of Šiauliai

50.

51.

50, 51. Acquisition of new medical equipment for hospital.


Public institution Šilalė District Hospital

52–55. Acquisition of new medical equipment for Šilalė hospital. In photos: echocardiography imaging tool, vital signs monitor, medical ventilator, intensive care bed set with equipment.

52. 53. 54.

55.


Public institution tauragė county Hospital

56. Acquisition of blood coagulation detection equipment. 57–59. Acquisition of new medical equipment for hospital. In photos: echocardiography imaging tool, intensive care bed monitor, defibrillator.

56.

58. 59.57.


Public institution telšiai county Hospital

60. 63.

62.

61.

60. Provision of the intensive care unit with intensive care beds. 61. Upgrading of the hospital laboratory. In photo: operating analyser. 62, 63. Acquisition of blood coagulation analyser, echocardiograph imaging tool for the hospital.


Public institution Vilkaviškis Hospital

67.

66.

65.

64.

64. Provision of the intensive care unit with intensive care bed equipment. 65. Acquisition of a new electrocardiograph the hospital. 66. Renovation of the cardiology room. 67. Acquisition of an intensive care bed set.


Pavadinimas

tHe seconD MeAsURe

Overhaul of the infrastructure of

health care facilities providing emergency

medical assistance in the event of traumatic injury or

other conditions caused by external factors


The goal of the measure Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors was to create all opportunities to provide residents of Lithuania with emergency assistance as quickly as possible and reduce mortality and disability from injuries and other external causes by investing funds into an overhaul of the health care infrastructure and modernising

the infrastructure of health care facilities providing medical assistance to people suffering from traumatic injuries.

According to statistical data, traumatic injuries or other external factors (suicide, poisoning, drowning, fire, etc.) are the third leading cause of death in Lithuania, and even the leading cause of death among young adults. There were 2.5 times as many deaths from external factors registered

overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

33Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

in Lithuania than in long-time European Union countries. In EU countries which have created and implemented a system of trauma centres, the mortality rate of patients suffering from traumatic injuries has significantly decreased. The treatment facilities which provide emergency medical care in Lithuania did not meet modern requirements, and accessibility to their services was not optimally distributed geographically in order to ensure immediate medical care during the so-called ‘golden hour’; so that patients who had suffered traumatic injury could be brought to the nearest treatment facility and receive specialised medical assistance. In addition, many of the medical facilities lacked adequate medical equipment, and the equipment they did have was physically and morally outdated and worn out. Therefore, goals were set for 2007-2013 to reorganise and upgrade the health care infrastructure and modernise the diagnostic and treatment equipment so that qualified, adequate and professional medical care of the highest level could be rendered in a timely manner.

In implementing the EU-funded projects, health care institutions which carry out the function of trauma centres created a system of emergency medical aid facilities so that as much

as 99 per cent of the Lithuanian population could reach at least one such facility during the golden hour, and as many as 46 per cent – several trauma centres. The premises of emergency medical centres and trauma centres which provide specialised medical care for children (in Vilnius and Klaipėda) were reconstructed and refit in accordance with hygiene requirements. Some trauma centres were adapted for extreme situations (disasters, etc.) and equipped with modern operating rooms and intensive care units; modern medical and computer equipment was acquired to take advantage of the latest diagnostic and treatment technologies. Now that the trauma centres have been reorganised and modernised, a system of emergency medical aid facilities has been created with the most complex equipment concentrated in the top-level trauma centres; furthermore, highly qualified specialists have been rallied who are able to provide appropriate care in cases of severe traumatic injury.

The completed projects have improved the quality of services provided to patients and the working conditions for medical staff. They have helped to decrease patient mortality and disability, more quickly restore the ability to work and reduce state funding for social benefits.




1. Public institution Alytus County V. Kudirka Hospital

The rehabilitation of the infrastructure and the improvement of quality of emergency medical assistance in the events of traumatic injury in Public institution Alytus County V. Kudirka Hospital

1,320.3 1,122.2

2. Public institution Klaipėda Children‘s Hospital

The modernisation of the department providing emergency medical assistance in the event of traumatic injury and surgical unit and the improvement of quality of emergency medical assistance in the event of traumatic injury in PI Klaipėda Children‘s Hospital

882.8 750.4

3. Public institution Klaipėda University Hospital

Project of the improvement of personal health care services provided to patients suffering from traumatic injury in Klaipėda University Hospital

3,638.4 3,092.7

4. Public institution Republican Hospital of Klaipėda

The improvement of the quality of emergency medical assistance in the event of traumatic injury in PI Republican Hospital of Klaipėda

1,267.7 1,079.2

5. Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

The development of the tertiary (top) care trauma and emergency assistance centre of Hospital of Lithuanian University of Health Sciences PI Kauno klinikos

14,643.4 12,399.4

6. Public institution Marijampolė Hospital

The modernisation of the emergency reception and surgical-traumatology service and the improvement of the quality of emergency assistance in the event of traumatic injury of PI Marijampolė Hospital

1,060.3 901.3

7. Public institution Republican Hospital of Panevėžys

The improvement of the quality of emergency medical assistance in the event of traumatic injury in PI Republican Hospital of Panevėžys

2,150.4 1,827.9




8. Public institution Republican Hospital of Šiauliai

The improvement of the infrastructure and quality of trauma medical care in Republican Hospital of Šiauliai

870.9 740.2


The development of the infrastructure of reception and emergency medical assistance in PI Republican Hospital of Šiauliai

3,778.1 3,211.4

10. Public institution Tauragė Hospital

The improvement of emergency medical assistance in the event of traumatic injury in PI Tauragė County Hospital, the modernisation of the emergency reception department and the improvement of treatment in the event of traumatic injury and the reorganisation and modernisation of the anaesthesiology and intensive care unit

812.8 690.9

11. Public institution Regional Hospital of Telšiai

The improvement of the quality of emergency medical assistance in the event of traumatic injury in PI Regional Hospital of Telšiai

1,022.1 868.8

12. Public institution Utena Hospital

The reduction of mortality and disability caused by traumatic injuries and of other external lethal factors in PI Utena Hospital

965.9 821

13. Public institution Vilnius University Hospital Santariškių Klinikos

The development of the infrastructure of Children‘s Traumatology Centre in Children‘s Hospital, a branch of Vilnius University Hospital Santariškių Klinikos

2,552.6 2,169.7


The improvement of the quality of emergency medical assistance in the event of traumatic injury in Vilnius University Hospital Santariškių Klinikos

4,243.0 3,606.50

15. Public institution Republican Vilnius University Hospital

The optimisation and modernisation of the infrastructure of emergency reception department of PI Republic Vilnius University Hospital

2,849.9 2,442.4


Renovation of the surgical unit of PI Republican Vilnius University Hospital

8,248.9 7,042.2


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

PakruojisRadviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

Gargždai

i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai V

Birštonas

s

Rietavas

13–14. Public institution Vilnius University Hospital Santariškių Klinikos15–16. Public institution Republican Vilnius University Hospital

2. Public institution Klaipėda Children‘s Hospital3. Public institution Klaipėda University Hospital4. Public institution Republican Hospital of Klaipėda

5. Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos




12. Public institution Utena Hospital

8–9. Public institution Republican Hospital of Šiauliai




1.

2. 3. 4.

1. The reconstructed building. 2–4. New medical equipment.

Public institution Alytus county s. Kudirka Hospital


Public institution Alytus county s. Kudirka Hospital

5.

6.

7.

8.

5, 6. The updated operating room and nurse offices. 7. The newly-acquired X-ray machine. 8. The renovated patient drop-off/pickup area.



9.

10.

9. The Emergency Centre that was opened at Kauno Klinikos. 10. Lithuanian Prime Minister Algirdas Butkevičius and Minister of Health Rimantė Šalaševičiūtė participated in the opening of the centre.


Public institution Republican Hospital of Klaipėda

11.

12.

11, 12. The small operating room in the Emergency Department and the urgent care operating room in the Department of Orthopaedics and Traumatology were both updated.



13.

14.

15.

16.

13, 14. The wards and laboratory facilities in the Department of Orthopaedics and Traumatology were also updated. 15, 16. The revamped urology/gynaecology room in the admissions department and the scrub room for the urgent care operating room in the orthopaedics and traumatology department.


Public institution Klaipėda University Hospital

17.

18.

19. 20.

17, 18. The updated endoscopy unit. 19. The updated X-ray room in the Department of Radiology. 20. The revamped intensive care unit.



21. 24.

23.

22.

21–23. The Department of Anaesthesiology and Reanimation was supplied with modern equipment. 24. The operating room was equipped with an instrument sterilisation machine.


Public institution Klaipėda children’s Hospital

25. The reconstructed premises of the surgical unit and emergency room of the admissions/urgent care de-partment at Klaipėda Children’s Hospital. 26. The renovated emergency room.

25.

26.



27, 28. The operating rooms in the surgery and emergency departments were provided with modern medical equipment and furniture. 29, 30. The updated ENT recovery room and ENT surgical unit.

27. 30.

29.

28.



31–33. The reconstructed corridor and stations in the consultation department 34. A manipulation bed.

31. 34.

33.

32.



35–38. Some of the modern medical equipment that was acquired: an infusion pump, a defibrillator/monitor, laparoscopic instruments, a medical ventilator.

35.

36.

37. 38.



39. The facade of the new wing of the admissions/urgent care department. 40. The revamped facade of the hospital.

39.

40.



41, 43, 44. The updated surgical intensive care ward and operating room. 42. The newly-equipped endoscopy room.

41. 44.

43.

42.


Public institution Regional Hospital of telšiai

45. The reconstructed hospital premises. 46. The wards in the emergency department were updated.

45.

46.


Public institution Regional Hospital of telšiai

47, 48. The operating room was equipped with a new operating table and digital X-ray machine. 49. A computed radiography and digital imaging archiving and transmission system was installed. 50. The updated resuscitation room in the admissions/urgent care department.

47. 50.

49.

48.


Public institution Utena Hospital

51, 52. Medical equipment was acquired for providing admissions/urgent care department, emergency room, in-tensive care and operating room services.

51.

52.


Public institution Vilnius Republican University Hospital

53. 55.

53. The reconstructed emergency care building. 54. The new intensive care unit. 55. The revamped entry point (garage) of the ambulance station. 56, 57. The updated reception area and computed tomography room.

56.

57.54.



58. Laparoscopic sets, an operating table for overweight patients, control panels and lamps were acquired. 59, 60. An anaesthetic machine and defibrillator were also purchased. 61. The microsurgery and plastic surgery operating rooms were supplied with a new microscope.

58.

60. 61.59.



62. The updated orthopaedic traumatology operating room.

62.


Public institution Vilnius University Hospital santariškių Klinikos

63. The renovated procedure room at Station II. 64. The updated nurses’ station.

63.

64.



65–67. The operating room was supplied with new medical equipment. 68. A revamped ward.

65. 68.

67.

66.


children’s Hospital, the branch of public institution Vilnius University Hospital santariškių Klinikos

69.

70.

69. The reconstructed Children’s Hospital. 70. Admissions/Urgent Care Section II of the Admissions/Urgent Care Department was updated in the surgery building.



71. 74.

73.

72.

71–73. The operating room was supplied with modern medical equipment. 74. The X-ray room in Admissions/Urgent Care Department II was updated.


75. The intensive care ward in Paediatric Intensive Care Section I was modernised. 76. The updated recovery room.

100b.

75.

76.



Pavadinimas

Overhaul of the infrastructure of

emergency ambulance care and urgent

consultative health care assistance

tHe tHIRD MeAsURe


In implementing the measure Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance, one of the objectives was to overhaul the infrastructure of emergency ambulance care and urgent consultative health care assistance. A person’s survival, chances of avoiding disability, duration of recovery, etc. depend on whether or not he or she was given appropriate medical care within the so-called ‘golden hour’, i.e. the first hour following the injury, poisoning, suicide attempt or other traumatic incident. It is therefore essential not only to correctly assess the patient’s condition and provide appropriate assistance, but also to ensure that the patient gets to the medical facility within the shortest possible time. First aid was not provided in Lithuania in a sufficiently effective manner, and as a result the country was ranked first in Europe in 2005 for mortality from external causes of death (traumatic injuries, poisoning, etc.). The poor quality of the ambulance fleet made it more difficult to help people and increased the mortality rate as well as the chance of severe complications or disability. In order to provide immediate assistance to patients in a more expedient manner and make urgent health care services more accessible to everyone, a more modern ambulance fleet is essential.

In implementing the project Modernisation of

ambulance emergency response, urgent consultative health care assistance and primary outpatient health care fleets 56 new type B and C ambulances equipped with the latest special medical equipment, modern means of communication and vehicle tracking equipment were purchased for different health care institutions throughout Lithuania which had particularly old ambulance fleets (i.e. 39 Lithuanian ambulance stations and units and 9 health care facilities providing urgent consultative assistance).

The project Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance has helped overhaul and modernise the ambulance fleet and equipment. The fact that the quality and efficiency of health care has improved is demonstrated not only by the statistics regarding the urgent provision of clinical services during the all-important golden hour, but also by other indicators at treatment facilities, such as the number of patients brought in, the parameters of urgent assistance provided to them, statistics on the general operations that were carried out, the shorter duration of in-patient treatment and the growing number of other outpatient services. Implementation of the project has helped improve the accessibility of emergency medical care, the effectiveness of treatment, and the safety of the population in an emergency.

overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance

63Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance

No Project promoter Project title Value of the project implemented / under implementation (million, EUR)

EU funding of the project (million, EUR)

1. The Ministry of Health of the Republic of Lithuani

Modernisation of ambulance emergency response, urgent consultative health care assistance and primary outpatient health care fleets

7.23 6.15

Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

Pakruojis

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

Gargždai

i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai

a

V

s

Rietavas

1. The Ministry of Health of the Republic of Lithuania


Modernisation of ambulance emergency response, urgent consultative health care assistance and primary outpatient health care fleets

3.

2.

1.

4.

1–4. Ambulances equipped with the latest special medical equipment, modern means of communication and GPS vehicle tracking equipment.

65Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance

Pavadinimas

Early diagnosis of oncological diseases and

complete treatment

tHe FoURtH MeAsURe

Pavadinimas

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds66 The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Cancer is one of the most common causes of death worldwide, even though the majority of deaths caused by cancer can be prevented. In the structure of Lithuanian mortality, oncological diseases are in one of the top places, due to factors such as late diagnosis of oncological diseases and insufficient opportunities to get a proper diagnosis and apply effective methods of treatment. Early detection of disease, effective cancer control measures, and the concentration of oncological research and treatment in large hospitals and research centres are in line with the development of European Union medical programmes and enable maximum use to be made of the knowledge of highly qualified specialists and technological equipment to be concentrated. One of the goals of the programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 was to reduce morbidity and mortality rates among residents from oncological diseases by investing

European Union funds in the infrastructure of institutions which provide oncological services, and in the improvement of the quality of the services rendered.

In implementing the projects under the measure Early diagnosis of oncological diseases and complete treatment, the infrastructure was modernised at health care facilities providing specialised medical assistance in the field of oncology: the National Cancer Institute, the Kaunas Clinics at the Hospital of Lithuanian University of Health Sciences, the Vilnius University Hospital Santariškių Klinikos, the Children’s Hospital at the Vilnius University Hospital Santariškių Klinikos, the Klaipėda University Hospital, the Republican Šiauliai Hospital, and the Republican Panevėžys Hospital. The Tauragė Hospital, the Regional Hospital of Telšiai, the Marijampolė Hospital and the Alytus County S. Kudirka Hospital were also provided with certain diagnostic equipment. It

early diagnosis of oncological diseases and complete treatment

Pavadinimas

67Early diagnosis of oncological diseases and complete treatment

was thus made possible to provide high-quality services, reduce side effects in patients, and diagnose and treat diseases in a faster and more effective manner. During implementation of the projects, medical and laboratory equipment was acquired for use in diagnosis, radiotherapy, tumour surgery, oncohematology, and bone marrow transplantation (linear accelerators, mammography, magnetic resonance tomography, computed tomography and other equipment), and premises related to the provision of oncological services were renovated. Positron emission tomography – advanced technology for the diagnosis of oncological diseases – was introduced. By combining positron emission tomography with computed tomography, the diagnosis of oncological diseases has improved, and it has become possible to determine the effectiveness of treatment of oncological diseases. The acquired equipment has been installed in a new building.

The projects under the measure Early diagnosis of oncological diseases and complete treatment have improved the chances of early cancer diagnosis, the effectiveness of treatment, and the accessibility of these services to the country’s residents. The infrastructure that has been modernised in accordance with European Union norms and standards and the facilities that have been reconstructed and upgraded have made it possible to provide residents with better health care services, reduce their mortality rates, increase their ability to work and improve their quality of life.

Pavadinimas


No Project promoter Project title Value of the project implemented / under implementation (million, EUR)

EU funding of the project (million, EUR)


Assuring early diagnosis of oncological diseases and complete treatment in Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos

10.92 9.28


Early diagnosis of oncological diseases and complete treatment in PI Klaipėda University Hospital

3.74 3.18


Early diagnosis of oncological diseases and complete treatment in PI Republican Hospital of Panevėžys

1.65 1.40


Assuring early diagnosis of oncological diseases and complete treatment for Šiauliai County population

1.82 1.60


Acquisition of linear accelerator during the modernisation of the infrastructure of Oncological Clinic of PI Republican Hospital of Šiauliai

1.82 1.6


Foundation of positron emission tomography complex in PI Vilnius University Hospital Santariškių Klinikos

3.97 3.38


The improvement of quality and availability of early diagnosis, chemotherapy, surgical and transplant treatment of oncological diseases in Vilnius University Hospital Santariškių Klinikos

6.02 5.11


The improvement of quality of early diagnosis and treatment of oncological diseases in Children‘s Hospital, a branch of Vilnius University Hospital Santariškių Klinikos

1.01 0.86

9. National Cancer Institute The improvement of early diagnosis of oncological diseases and the assurance of complete treatment at National Cancer Institute

9.81 8.33

10. Ministry of Health of the Republic of Lithuania

Acquisition of linear accelerators 6.36 5.40

Pavadinimas


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

i

Širvintos

Trakai

Jurbarkas

Šakiai

Kaišiadorys

Lazdijai V

s

Rietavas

6. Public institution Vilnius University Hospital Santariškių Klinikos7, 8. Public institution Vilnius University Hospital Santariškių Klinikos9. National Cancer Institute10. Ministry of Health of the Republic of Lithuania




4, 5. Public institution Republican Hospital of Šiauliai

Pavadinimas


1.

2.


1. The renovated facade. 2. The room that was set up for residents.

Pavadinimas


3.

4.

5.

6.


3. The renovated on-call room in the haematology department. 4. The renovated procedure room in the haematology department. 5, 6. The reconstructed wards and work rooms.

Pavadinimas


7. 10.

8.

9.


7. The renovated mammography room in the Department of Radiology. 8. The X-ray therapy equipment that was purchased for the radiotherapy room. 9. The 3D breast ultrasound that was purchased for the Department of Radiology. 10. The new brachytherapy equipment and surgical C bow.

Pavadinimas


11.

12.


11. The hospital purchased a linear accelerator. 12. Computed tomography equipment was purchased to plan x-ray testing.

Pavadinimas


13. 16.

15.

14.


13. The linear accelerator that as purchased. 14. The new brachytherapy equipment. 15. The digital mammography equipment that was purchased. 16. The equipment for medical ultrasound was updated.

Pavadinimas


17.

18. 19. 20.


17. The new Positron Emission Tomography Centre. 18, 20. Inside the Positron Emission Tomography Centre. 19. Some of the positron emission tomography and computed tomography equipment that was acquired.

Photo by Raimondo Urbakavičiaus

Pavadinimas


21. 22. 23.

24.

national cancer Institute

21. The new computed tomography machine. 22. The hospital purchased a linear accelerator. 23. The patient monitoring system was updated. 24. Angiography equipment was purchased.

Pavadinimas


Establishment of differentiated

comprehensive psychiatric help centres for children

and families

tHe FIFtH MeAsURe


Mental health is recognised as the most important field of public health of the beginning of the 21st century. In Lithuania, mental health indicators are extremely poor: a large number of suicides, younger and younger people committing crimes, and the most widespread bullying among all the European Union countries. One of the measures in the field of mental health that has been implemented is Establishment of differentiated comprehensive psychiatric help centres for children and families, the goal of which was to develop comprehensive outpatient, counselling, inpatient, day-patient and crisis intervention mental health care services for children and adolescents, while at the same time implementing disease and suicide prevention and creating a child and youth mental health care system.

In implementing the programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 and financing projects with European Union structural funds, five differentiated comprehensive psychiatric help centres for children and families were established.

In carrying out the projects, the Kaunas Clinics at the Hospital of Lithuanian University of Health Sciences, the Klaipėda Republican Hospital, the Panevėžys Republican Hospital, the Republican Šiauliai Hospital and the Vilnius University Hospital Santariškių Klinikos modernised, upgraded and expanded their mental health care premises (for education, physical activity and therapy), acquired new equipment, furniture and computer equipment, improved or set up child and adolescent activity rooms, fitted out courtyards, formed mobile

establishment of differentiated comprehensive psychiatric help centres for children and families

79Establishment of differentiated comprehensive psychiatric help centres for children and families

teams, and expanded opportunities for the organisation of free time and activities.

Thanks to the projects that were implemented, mental health services have improved and become more accessible, and the quality of specialised services has increased. The projects under the measure Establishment of differentiated comprehensive psychiatric help centres for children and families have contributed in providing every kind of assistance and social services to people with mental and behavioural disorders and improving their quality of life and integration into society.





The improvement of complex mental health care services for children and youth in Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos

562 477.7


The establishment of a differentiated department of complex psychiatric help for a child and family in Psychiatry Branch of Republic Hospital of Klaipėda

580.6 493.6


The establishment of a differentiated centre of complex psychiatric help for a child and family in PI Republican Hospital of Panevėžys

195.3 166


The establishment of a differentiated centre of complex psychiatric help for a child and family in PI Republican Hospital of Šiauliai

627.6 533.4


The establishment of a centre of complex psychiatric help for a child and family in Children‘s Hospital, a branch of PI Vilnius University Hospital Santariškių Klinikos

1,071.8 911.1


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

i

Širvintos

Trakai

Jurbarkas

Šakiai

Kaišiadorys

Lazdijai V

s

Rietavas







1. 2. 3.

4.


1. Installation of a Children’s occupational therapy room equipped with toys and educational aids in Children and Youth’s Psychiatry Sector. 2. Installation of a yard for sports. 3. Children’s works created in the newly-installed therapy room. 4. Refurbished therapy room with chairs and TV-set.


7.

8.5.

6.


5–8. Children’s Psychiatry Department moved to the renovated premises. Installation of children’s playro-om, gym, therapy room and welcoming waiting room.


9. 12.

11.

10.

Public institution Republican Hospital of Panevėžys

9, 11. Installation of a therapy room. Acquisition of new furniture, mobile drawing board, audio and video system and treadmill. 10. Installation of a small yard for sports and recreation. 12. Refurbishment of the psychologist’s room. Acquisition ofnew furniture, therapeutic aid and new software.


15.

14.

13.

16.


13–16. Renovation of Children’s Psychiatry Department of Children’s Clinic at PI Republican Hospital of Šiauliai. Installation of a lobby, playroom, intensive care ward and nurses’ station.


17.

18.

children‘s Hospital, the branch of public institution Vilnius University Hospital santariškių Klinikos

17. Installation of a teaching room for autist children. 18. Acquisition of a children’s trampoline for kinesitherapy.


19. 22.

21.

20.


19–22. Installation of a new playground, renovation of the educational, psycho relaxation and play rooms, and the gym.


23.

24.

23, 24. Acquisition of new furniture and alternative communication equipment for autism class for developing communication skills of children.



Modernisation of inpatient psychiatric care

tHe sIXtH MeAsURe


The measure Modernisation of Inpatient Psychiatric Care was designed to modernise Lithuanian psychiatric inpatient units as many of them failed to meet the existing European Union standards: they were outdated, in need of repair, and inadequately equipped with small wards and proper treatment, monitoring and care equipment that was not physically and morally outdated; the hospitals also lacked other things, such as safe courtyards for recreation. Significant problems were caused by the inadequate conditions in providing mental health services for acute psychiatric disorders. The measure Modernisation of Inpatient Psychiatric Care was therefore extremely important for Lithuania: projects were carried out by eight health care institutions, of which seven provide mental health services for acute psychiatric disorders, and one is used for forensic psychiatric assessments.

An inpatient psychiatric unit has been set up at the Panevėžys Republican Hospital: the premises have been renovated, comfortable and suitable furniture has been acquired, an elevator has been installed, and a cosy yard has been created for the patients to relax in. The buildings and equipment of the acute psychiatric unit at the Vilnius City Mental Health Centre have been modernised, and the quality of specialised services has improved. The men’s acute care unit at the Republican Šiauliai Hospital has been renovated and updated. It has been equipped with special patient observation wards to facilitate the work of the staff, new day premises (for activities, consultation and procedures), and a lovely, safe courtyard. The renovated acute psychiatric inpatient unit at the Psychiatry Clinic at the Hospital of Lithuanian University of Health Sciences Kaunas Clinics

Modernisation of inpatient psychiatric care

91Modernisation of inpatient psychiatric care

now has a comfortable environment for patients and staff, with dignified hospital care conditions for patients suffering from acute mental illnesses. A separate unit for acute mental disorders with modern equipment and an appropriately trained staff has also been established in the reconstructed premises of the Republican Vilnius Psychiatric Hospital. This concentration of psychiatric services in one unit has improved their quality and increased the comfort of patients in other units. The State Forensic Psychiatric Service under the Ministry of Health reconstructed the Utena II assessment subdivision, creating conditions for the protection and rehabilitation of persons. At the acute psychiatric unit at the Psychiatric Hospital, which is a branch of the Republican Hospital of Kaunas, reconstruction work was carried out in accordance with current EU

requirements (medical and computer equipment and software was updated, a courtyard was put in, etc.). An acute psychosis unit was established and equipped in separate, refurbished premises at the Klaipėda Republican Hospital, thus improving both specialised patient care as well as treatment conditions for less severe patients.

Upon implementing the projects according to the measure Modernisation of Inpatient Psychiatric Care, psychiatric units where mental health services are provided for acute psychiatric disorders were modernised according to current European standards.




1. Public institution Republican Hospital of Kaunas

Modernisation of the Inpatient Psychiatry Unit of the Republican Hospital of Kaunas

481.8 409.5


Improvement of access to mental health services and their quality at the Hospital of Lithuanian University of Health Sciences Kauno Klinikos

481.8 409.5


Setting up of the Acute Psychiatry Unit with special care facilities at the Psychiatry Department of the Republican Hospital of Klaipėda

647.3 550.2


Modernisation of the Psychiatry Unit I of the Republican Hospital of Panevėžys

470.2 399.7


Modernisation of the Acute Conditions Unit of the Psychiatry Department, the branch of the Republican Hospital of Šiauliai

647 549.9

6. National Service of Forensic Psychiatry in Lithuania Under the Ministry of Health

Reconstruction of the Subdivision II of the Utena Expert Division of the National Service of Forensic Psychiatry in Lithuania Under the Ministry of Health

414.8 352.6

7. Public institution Republican Psychiatry Hospital of Vilnius

Modernisation of the Inpatient Psychiatry Unit of the Republican Psychiatry Hospital of Vilnius

439.6 389.7

8. Public institution Vilnius City Mental Health Centre

Modernisation of acute psychiatry services at the Vilnius City Mental Health Centre

300.3 255.3


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

i

Širvintos

Trakai

Jurbarkas

Šakiai

Kaišiadorys

Lazdijai V

s

Rietavas

7. Public institution Republican Psychiatry Hospital of Vilnius 8. Public institution Vilnius City Mental Health Centre


1. Public institution Republican Hospital of Kaunas 2. Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos

6. National Service of Forensic Psychiatry in Lithuania Under the Ministry of Health

4. Public institution Republican Hospital of Panevėžys5. Public institution Republican Hospital

of Šiauliai


1–4. The renovated nurses’ station, the office of a unit head and the recreation courtyard.

2.

3.

4.1.

Public institution Republican Hospital of Kaunas


5–7. The renovated emergency unit, the passage and the office.

5. 6.

7.



8. 9. 10.

11.

8–11. The repaired first and second floors of the Psychiatry Unit I of the Republican Hospital of Panevėžys. In photos: new wards, the new lift and the renovated passage on the second floor.



12.

13.

12, 13. New activity rooms on the first and second floors of the Psychiatry Unit.



14. The new vibroacoustic therapy room. 15. The renovated registration desk of the Vilnius City Mental Health Centre.

15.

14.

Public institution Vilnius city Mental Health centre


16.

17.

18.

19.

16–19. The new canteen at the day-patient unit, the meeting hall and the electromagnetic pulse therapy room.



20. The renovated Republican Psychiatry Hospital of Vilnius. 21. The new nurses’ station at the Acute Psychiatric Disorders Unit. 22. The renovated senior nurse’s office. 23. The new multi-function bed and the mobile X-ray machine.

23.

20.

22.21.

Public institution Republican Psychiatry Hospital of Vilnius


Modernising the infrastructure for monitoring mental

health care services

tHe seVentH MeAsURe


As part of the implementation of the programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013, one of the tasks was the refurbishment of infrastructure used for monitoring mental health care services. To perform this function it is necessary to create proper conditions for ongoing examination and assessment of changes, including public mental health indicators, the efficiency of the system, the quality and effectiveness of services provided, consumers’ satisfaction with services, the proper use of funds, and epidemiological studies.

The State Mental Health Centre, which is the only centre in Lithuania performing the monitoring of other institutions providing mental health care services, participated in the project. As the State Mental Health Centre lacked adequate premises and equipment needed for improving qualification

of specialists working in the above-mentioned institutions, providing necessary information and administering the whole activity, an old building, which was not in good repair and lacked modern, adequate equipment, was used. The building underwent major repairs: a hall for lectures and seminars and new workplaces were installed, necessary medical and programming equipment, and a new car were acquired.

Upon completion of the project under the measure Modernisation of infrastructure for monitoring mental health care services conditions for timely and effective assessment of services provided by other mental health care institutions, efficient monitoring and administration of the quality of services provided by institutions engaged in psychiatric and mental health care were created.

Modernising the infrastructure for monitoring mental health care services

103Modernising the infrastructure for monitoring mental health care services

Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

Pakruojis

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

Gargždai

i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai

a

V

Birštonas

s

Rietavas



1. Public institution State Mental Health Centre

Modernisation of the infrastructure of the State Mental Health Centre at Parko g. 15, Vilnius

188.8 160.5

1. Public institution State Mental Health Centre


1. The 30 seat meeting room. 2. The reconstructed interior and passage.

1.

2.

Public institution state Mental Health centre


3. The new windows. 4. The renovated offices. 5. The lift for the disabled. 6. The upgraded pathway leading to the Centre.

4.

5.

6.3.



7. The renewed equipment of a doctor’s office.


7.


Establishment of mental health day-patient centres

tHe eIGHtH MeAsURe


One of the goals of the programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 was the development of flexible mental health care services network through the establishment of day-patient centres in communities. Based on the above, it was decided to establish 27 new day-patient centres, which would operate as part of already functioning mental health centres in various cities across Lithuania. They are set to provide early help in cases when mental health of the population starts to deteriorate: patients would receive a variety of essential services and intensive treatment while bond with their families as well as ordinary environment would remain undisturbed. These changes are set to improve the quality of health care services and their availability for 37,000 patients.

Mental health day-patient centres were established in Vilnius, Kaunas, Alytus, Klaipėda, Panevėžys, Šiauliai, Telšiai, Marijampolė, Tauragė and Utena counties. For this purpose, a number of buildings underwent repairs, reconstruction and modernisation, rooms were equipped to facilitate

individual and group work as well as psychotherapy, centres received appropriate furniture and other equipment as well as special tools required for art, music, light and movement therapy (each centre chose to conduct 2-3 types of the above mentioned therapies), while staff and patient recreation space, hygiene facilities and treatment rooms were all renewed.

Establishment of mental health day-patient centres meets priorities and recommendations set out in the European Union’s strategic documents, which propose to strengthen public mental health by employing a variety of modern tools, implement the prevention of suicide, violence and addiction diseases, which are directly linked to mental health, and develop rehabilitation opportunities within communities for psychiatric patients while involving their families in the process.

establishment of mental health day-patient centres

109Establishment of mental health day-patient centres



1. Public institution Alytus Outpatient Clinic

The establishment of a mental health day centre (inpatient) in Alytus 429.5 365.1

2. Public institution Druskininkai Primary Health Care Centre

The establishment of a mental health day centre in Druskininkai Municipality

332.1 282.3

3. Public institution Elektrėnai Mental Health Care Centre

The establishment of an inpatient mental health day unit under Elektrėnai Mental Health Care Centre

183.1 155.7

4. Administration of Jonava District Municipality

The establishment of Jonava inpatient mental health day unit 433.7 368.7

5. Public institution Joniškis Mental Health Care Centre

The development and the improvement of availability of Joniškis Mental Health Care Centre‘s services, by establishing an inpatient mental health day unit

327.8 278.6

6. Public institution Kaunas Central Outpatient Clinic

The establishment of an inpatient mental health day unit (centre) in PI Kaunas Central Outpatient Clinic

480.9 408.7

7. Public institution Kaunas Dainava Outpatient Clinic

The establishment of an inpatient mental health day unit in PI Kaunas Dainava Outpatient Clinic

251.1 213.4

8. Public institution Kaunas Šilainiai Outpatient Clinic

VThe development of services provided by PI Kaunas Šilainiai Outpatient Clinic, Mental Health Centre by establishing an inpatient mental health day unit

234.4 199.2

9. Public institution Kėdainiai Primary Health Care Centre

The establishment of an inpatient mental health day unit (centre) in PI Kėdainiai PHCC, Mental Health Department

262.7 223.3

10. Public institution Kretinga Mental Health Centre of Kretinga District Municipality

The establishment of an inpatient mental health day unit (centre) under PI Kretinga Mental Health Centre

316.2 268.8

11. Public institution Marijampolė Primary Health Care Centre

The establishment of an inpatient mental health day unit in Marijampolė 313.4 266.4

12. Private limited company Mažeikiai Mental Health Centre

Psichikos dienos centro pastato Sedos g. 29 / Vilties g. 12, Mažeikiuose, statyba

588.4 500.1

13. Private limited company Medgintras

The establishment of a mental health day centre at Vytauto g. 60, Garliava

334.6 284.4

14. Administration of Panevėžys City Municipality

The establishment of an inpatient mental health day unit (centre) in Panevėžys Outpatient Clinic

196.7 167.2




15. Public institution Pasvalys Primary Health Care Centre

The establishment of Pasvalys inpatient mental health day unit 416.6 354.1

16. Public institution Rokiškis Mental Health Care Centre

The establishment of an inpatient mental health day unit (centre) under PI Rokiškis Mental Health Centre

362.7 308.3

17. Administration of Šiauliai City Municipality

The establishment of an inpatient mental health day unit (centre) under public institution Šiauliai Central Outpatient Clinic, at Varpo g. 9

624.7 531

18. Private limited company Šilutė Mental Health and Psychotherapy Centre

The establishment of Pasvalys inpatient psychiatric day unit 70.3 59.7

19. Public institution Tauragė District Primary Health Care Centre

The establishment of an inpatient mental health day unit in Tauragė District

370 314.5

20. Public institution Ukmergė Primary Health Care Centre

The establishment of a mental health day centre under PI Ukmergė Primary Health Care Centre

279.7 237.7

21. Public institution Utena Primary Health Care Centre

The establishment of Utena inpatient mental health day unit 569.6 484.1

22. Public institution Antakalnis Outpatient Clinic

The establishment of an inpatient mental health day unit in PI Antakalnis Outpatient Clinic, Mental Health Centre

190.2 161.7

23. Public institution Central Outpatient Clinic

The development of outpatient mental health care services for Vilnius County population, by establishing an inpatient day unit (centre) in PI Central Outpatient Clinic, Vytenis Branch

304.6 258.9

24. Public institution Karoliniškės Outpatient Clinic

The establishment of an inpatient mental health day unit in PI Karoliniškės Outpatient Clinic, Mental Health Centre

245 208.2

25. Public institution Šeškinė Outpatient Clinic

The establishment of an inpatient day unit under the Mental Health Centre in PI Šeškinė Outpatient Clinic

216.6 184.1

26. Public Institution Central Outpatient Clinic of Vilnius District

The establishment of an inpatient mental health day unit under PI Central Outpatient Clinic of Vilnius District, Mental Health Centre

492.8 418.8

27. Private limited company Žemaitija Mental Health Centre

The establishment of an inpatient mental health day unit in Telšiai to provide services for the population of Telšiai and Plungė Districts

834.6 709.4


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

Pakruojis

Radviliškis

Mažeikiai

NaujojiAkmen

Kretinga

Plung

Gargždai

i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai V

Birštonas

Priena

Rietavas

22. Public institution Antakalnis Outpatient Clinic23. Public institution Central Outpatient Clinic24. Public institution Karoliniškės Outpatient Clinic25. Public institution Šeškinė Outpatient Clinic26. Public Institution Central Outpatient Clinic of Vilnius District

10. Public institution Kretinga Mental Health Centre of Kretinga District Municipality

18. Private limited company Šilutė Mental Health and Psychotherapy Centre

11. Public institution Marijampolė Primary Health Care Centre

19. Public institution Tauragė District Primary Health Care Centre

1. Public institution Alytus Outpatient Clinic

3. Public institution Elektrėnai Mental Health Care Centre


6. Public institution Kaunas Central Outpatient Clinic7. Public institution Kaunas Dainava Outpatient Clinic8. Public institution Kaunas Šilainiai Outpatient Clinic13. Private limited company Medgintras

9. Public institution Kėdainiai Primary Health Care Centre


14. Administration of Panevėžys City Municipality

15. Public institution Pasvalys Primary Health Care Centre

16. Public institution Rokiškis Mental Health Care Centre

5. Public institution Joniškis Mental Health Care Centre

17. Administration of Šiauliai City Municipality

27. Private limited company Žemaitija Mental Health Centre

12. Private limited company Mažeikiai Mental Health Centre

20. Public institution Ukmergė Primary Health Care Centre

21. Public institution Utena Primary Health Care Centre


Public institution Alytus outpatient clinic

1. Opening of an Inpatient Mental Health Day Unit in PI Alytus Outpatient Clinic. 2, 3. Installation of massage and rehabilitation rooms.

1.

3.2.


Public institution Alytus outpatient clinic

4, 5. Installation of painting on water room, recreation zone on the second floor. 6. Provision of wards with functional beds. 7. Installation of a lift for people with disabilities.

4. 7.

6.

5.


Public institution Druskininkai Primary Health care centre

8. Completed renovation of the fourth attic floor and part of the third floor in Druskininkai Primary Health Care Centre Establishment of an Inpatient Mental Health Day Unit in the renovated premises. 9. Acquisition of inpatient beds for wards.

8.

9.



10, 11. Installation of motion therapy and occupational rooms. 12. The Centre also has a music and light therapy room. 13. Completed refurbishment of the staircase leading to the 4th floor.

10. 13.

12.

11.


Public institution elektrėnai Mental Health care centre

14. Establishment of a Mental Health Day Centre in the renovated premises of PI Elektrėnai Mental Health Care Centre. 15. Acquisition of new furniture and equipment needed for work for the Centre.

14.

15.


Public institution elektrėnai Mental Health care centre

16, 17. Installation of premises for individual and group psychotherapy, psychopharmacotherapy, music and light and motion therapies.

16.

17.


Administration of Jonava District Municipality

18. Construction of the superstructure on the existing building of Jonava Infectious Diseases Hospital, in which the Inpatient Mental Health Day Unit was opened. 19. Acquisition of domestic appliances.

18.

19.


Public institution Joniškis Mental Health care centre

20. Establishment of an Inpatient Mental Health Day Unit in Joniškis Mental Health Centre. 21–23. Installation of a lift, waiting room light and music therapy room.

20.

21. 22. 23.


Public institution Kaunas central outpatient clinic

27.26.

25.

24.

24–26. Establishment of an Inpatient Mental Health Day Unit in the refurbished premises of PI Kaunas Central Outpatient Clinic. Installation of the motion and light therapy rooms and patients’ rest room in the unit. 27. The Centre also has an art therapy room.


Public institution Kaunas central outpatient clinic

28. 31.

30.

29.

28. Installation of the nursing post in the corridor on the 4th floor. 29. Installation of a relaxation and group psychotherapy room in the Centre. 30, 31. Completed refurbishment of the staircase and waiting room.


Public institution Kaunas Dainava outpatient clinic

32. Establishment of an Inpatient Mental Health Day Unit in the premises of PI Kaunas Dainava Outpatient Clinic. In photo: three-bed ward and treatment room. 33. Installation of a lift and elevator for people with disabilities on the 2nd floor.

32.

33.


Public institution Kaunas Dainava outpatient clinic

34. Acquisition of new furniture. 35. Installation of an occupational room fitted with home cinema system. 36. Completed renovation of the 1st floor lobby, acquisition of a TV-set and stereo system. 37. The Centre also has a therapy room.

34. 37.

36.

35.


Public institution Kėdainiai Primary Health care centre

38. Establishment of an Inpatient Mental Health Day Unit in the premises of PI Kėdainiai PHCC. 39, 40. Installation of treatment and occupational rooms.

38.

39. 40.


Public institution Kretinga Mental Health centre

41. Establishment of an Inpatient Mental Health Day Unit on the 4th floor of Kretinga Mental Health Centre. 42. Installation of wards. 43, 44. Creation of facilities for organising art, music, light therapies and propagating healthy living in the Centre.

41.

42.

43.

44.


Public institution Marijampolė Primary Health care centre

45. Establishment of an Inpatient Mental Health Day Unit in the premises of PI Marijampolė PHCC. 46. Installation of a doctors’ room. 47. Acquisition of relaxing armchairs, TV-set for the rest room. Motion therapy is performed as well.

45.

47.46.


Private limited company Mažeikiai Mental Health centre

48. Installation of a new reception desk. 49. Establishment of an Inpatient Mental Health Day Unit in Mažeikiai Mental Health Centre. 50, 51. Installation of a motion therapy rooms and wards.

48. 51.

50.

49.


Public institution Pasvalys Primary Health care centre

52, 53. Establishment of Pasvalys Inpatient Mental Health Day Unit in the new building. 54. Installation of a rest room. 55. Decoration of the new reception with a fish tank.

52.

53. 54. 55.


Public institution Rokiškis Mental Health care centre

56. Establishment of an Inpatient Mental Health Day Unit in the reconstructed premises of PI Rokiškis MHCC. 57, 58. Installation of relaxation, rest, group therapy and computer rooms.

56.

58.57.


Administration of Šiauliai city Municipality

59. Provision of multi-sensory therapy at Šiauliai Mental Health Day Centre. 60. Acquisition of sand therapy equipment for the art therapy room.

59.

60.


Private limited company Žemaitija Mental Health centre

61. Establishment of an Inpatient Mental Health Day Unit of Žemaitija Mental Health Centre Plc in the new building, in Telšiai. 62. Installation of a new art therapy room. 63. Installation of a waiting room in the new corridor.

61.

63.62.


Public institution Ukmergė Primary Health care centre

64. Opening of an Inpatient Psychiatric Day Unit in the newly-renovated building. 65. Completion of the renovation of the corridor on the 2nd floor. Acquisition of a TV-set, mirror panel, furniture.

64.

65.



66. Installation of wards. 67. The Centre boasts a multi-sensory therapy room.

66.

67.



68, 70. Installation of art and motion therapy rooms. 69. Installation of a relaxation zone, where audiovisual therapy is performed.

68. 69.

70.


Public institution Utena Primary Health care centre

71. Establishment of an Inpatient Mental Health Day Unit in PI Utena Primary Health Care Centre. 72. Completion of the refurbishment of the lobby, installation of a lift for people with disabilities. 73, 74. Installation of a ward and social workers’ room.

74.73.

72.

71.


Inpatient Mental Health Day Unit of public institution central outpatient clinic of Vilnius District

75. Establishment of the Inpatient Mental Health Day Unit in Nemenčinė, Vilnius District. 76. Completion of the renovation of the corridor on the 1st floor. 77. Installation of an occupational therapy room. Acqui-sition of equipment needed for the therapy: computers, sewing machine. 78. Installation of a lift for people with disabilities.

75.

76.

77. 78.


Inpatient Mental Health Day Unit of public institution Antakalnis outpatient clinic

80.

79.

79. Establishment of the Mental Health Day Unit on the 2nd floor, Block A of Antakalnis Outpatient Clinic. 80. Installation of wards.


Inpatient Mental Health Day Unit of public institution Antakalnis outpatient clinic

81.

82.

81. The Centre has dance and motion therapy, psychotherapy and group therapy room. 82. Completion of the installation of a corridor of the Mental Health Day Unit.


Public institution Karoliniškės outpatient clinic

83.

84.

83. Establishment of the Inpatient Mental Health Day Unit in PI Karoliniškės Outpatient Clinic. 84. Installation of film, art therapy, occupational rooms, kitchen.


85.

86.

Public institution Šeškinė outpatient clinic

85. Establishment of the Mental Health Day Centre in PI Šeškinė Outpatient Clinic. In photo: occupational room. 86. Installation of an audiovisual relaxation room in the Centre.


Pavadinimas

Establishment of crisis intervention centres

tHe nIntH MeAsURe


One of the goals of the programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 was the establishment of crisis intervention centres. Crisis intervention centres help to improve the quality of psychiatric services as well as their accessibility to many patients going through crises. These centres are meant for adults only.

Projects were carried out in accordance with the measure Establishment of crisis intervention centres by health care institutions in five of Lithuania’s major cities: the Republican Hospital of Kaunas, the Šiauliai Republican Hospital, the Panevėžys Republican Hospital, the Vilnius City Mental Health Centre and the Klaipėda Republican Hospital. Modern, well-equipped adult crisis intervention centres for proper psychological care, psychotherapy and other

types of therapy and repose have been established at these institutions. A crisis intervention centre which provides day-patient services has been set up at the Vilnius City Mental Health Centre. The facilities have been updated and the necessary equipment and transportation has been obtained, making it possible to visit people who are going through a crisis. The premises at the Panevėžys Republican Hospital have been reconstructed, and computer equipment and transportation have been obtained. At the Šiauliai Republican Hospital, the premises have been renovated and a wing has been built for a crisis intervention centre. A comfortable and safe environment has been created for patients and the staff, a modern patient monitoring system has been installed, and specialised medical equipment has been purchased. The building for the crisis intervention centre at the Klaipėda Republican

establishment of crisis intervention centres

143Establishment of crisis intervention centres

Hospital has been refurbished, and the necessary medical equipment and furniture has been received. This hospital has begun providing new psychiatric services of the appropriate level which help to maintain the ability to work and improve quality of life. Although the Republican Hospital of Kaunas is a multi-profile hospital, the district did not have a crisis prevention centre before this project. For this purpose, buildings were reconstructed, adapted, and equipped with comfortable furniture and modern equipment.

Upon carrying out the EU-financed projects of the measure Establishment of crisis intervention centres crisis intervention centres were established which make it possible to provide emergency assistance, help prevent long-term mental disorders, more easily adapt after experiencing violence, more quickly regain the

ability to work, improve the quality of life, and fulfil one of the fundamental human needs – the need for security.





Establishment of a crisis intervention centre at the Republican Hospital of Kaunas

442.7 223.2


Establishment of a crisis intervention centre at the Psychiatry Department of the Republican Hospital of Klaipėda

507.8 431.7


Establishment of a crisis intervention centre at the Republican Hospital of Panevėžys

389.9 331.4


Establishment of a crisis intervention centre at the Republican Hospital of Šiauliai

788 669.8


Establishment of a crisis intervention centre at the Vilnius City Mental Health Centre

262.6 223.2


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

i

Širvintos

Trakai

Jurbarkas

Šakiai

Kaišiadorys

Lazdijai V

s

Rietavas




3. Public institution Republican Hospital of Panevėžys4. Public institution Republican Hospital of Šiauliai


1, 2. The first crisis intervention centre set up in Kaunas. In photos: the facade of the inpatient unit and the waiting room.

1.

2.



3. New vibroacoustic chairs in the office of an occupational therapist. 4–6. The new registration desk, the new activity and group therapy room, and the new physical therapy gym.

4.

5.

6.3.



7–10. The crisis intervention centre set up at the Republican Hospital of Klaipėda. In photos: light, dance, activity and psychological therapy rooms.

10.

7.

8.

9.



11.

12.

11, 12. The renovated courtyard of the crisis intervention centre, the reconstructed staircase, new day-patient activity and psychological therapy rooms.



13, 14. The crisis intervention centre set up in the reconstructed premises of the Republican Hospital of Panevėžys. In photos: the nurses’ station and the office of the head of the Psychiatry Department.

13.

14.



15–17. The office of a senior nurse, the passage and the nurses’ station. 18. New equipment. In photos: massage chairs, a massage table and a colour therapy lamp.

15. 18.

17.

16.



19–21. The crisis intervention centre set up in the new building of the Republican Hospital of Šiauliai. In photos: the facade of the inpatient unit, the new passageway and the renovated courtyard. 22. The terrace on the first floor of the day-patient unit. New outdoor furniture.

19.

20.

21. 22.



23–26. New premises of the inpatient unit. In photos: the new vibroacoustic therapy room, the passage, the office of the head nursing administrator and the psychological therapy room.

26.

25.

24.

23.



27, 28. The crisis intervention centre set up at the Vilnius City Mental Health Centre. In photos: the audio-visual entrainment room and the lobby of the inpatient unit.

27.

28.



The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

tHe tentH MeAsURe


One of the aims of the health care system’s restructuring process is to optimise inpatient care services: upgrade municipal hospitals’ infrastructure, adapt it to facilitate the treatment of the most frequent and simple diseases while diagnosis and treatment of complex diseases should be predominantly carried out at university hospitals as well as hospitals in major cities, which should be better facilitated with the latest equipment. The projects of the programme Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure implemented under the measure The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services were intended to reform and optimise secondary level health care facilities in three directions specified in the program:

Tasks of the first “outpatient services” development direction include improvement of

secondary level outpatient services and outpatient rehabilitation services’ infrastructure. Institutions providing outpatient health care services, including hospital outpatient facilities, did not have the necessary modern diagnostic equipment, hence very few patients were provided with outpatient rehabilitation services following severe injuries and diseases. Therefore, it aimed to renew secondary level outpatient services and outpatient rehabilitation services’ infrastructure (covering over 70 institutions), improve access to health care and its quality, provide patients with medical rehabilitation services following severe injuries and diseases and help them regain their employability.

Tasks of the second “outpatient services optimisation” direction include optimisation of outpatient services in health care institutions, i.e. modernisation of admission and emergency departments’ infrastructure and development of

the development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

157The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

day surgery services. Day surgery is as a new and innovative form of treatment that is widely used in the European Union countries. It allows shortening waiting times for patients awaiting elective surgery, lowers the chances of contracting an infection, shortens sickness leave time and services provided become twice as cheap.

Tasks of the third “palliative care and nursing care services” development direction include the improving infrastructure of palliative care and nursing care services and introducing palliative care services at health care institutions. Previously, palliative care, nursing care and palliative support services in Lithuania were provided in general and specialised hospitals (oncological and others), but due to the lack of nursing equipment and specifically trained specialists palliative care was not very effective or of high quality. Therefore, the challenge of projects drafted under this measure is to increase the number of health care institutions providing palliative care, nursing care and palliative support services, improve their quality and upgrade them in accordance with the European Union standards.

These projects were implemented in many

health care institutions across Lithuania that provide the following services: secondary (specialised) outpatient consultations and rehabilitation, palliative treatment, nursing care and palliative care as well

as inpatient treatment (admission and emergency departments, day surgery centres, etc.). Many premises used for treatment at the above institutions went through repairs, reconstruction and expansion; they were upgraded with the establishment of new relevant departments (outpatient rehabilitation, palliative care, day surgery, etc.), which are furnished with modern medical equipment set to aid with patient diagnosis, nursing care, surgery and outpatient rehabilitation; they are installed with a significantly increased number of beds (over a 1,000 beds for palliative care and nursing care and 180 beds for palliative support); a new monitoring service was installed allowing to monitor patients arriving at admission and emergency departments for up to 24 hours.

Implementation of projects under the measure The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services saw the renewal of many secondary level health care institutions’ infrastructure, an increased number of modern hospitals equipped in accordance with the EU standards while taking into account national priorities set for the country’s demographic composition as well as its financial policy, a significant increase in the number of treated patients, improvements in the accessibility of health care institutions, a larger number of new and modern services provided as well as improvements in their quality and efficiency.




1. Public institution Abromiškės Rehabilitation Hospital

Development of outpatient services in PI Abromiškės Rehabilitation Hospital

377.2 320.6


The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services, PI Alytus County V. Kudirka Hospital

1,202.2 1,021.8

3. Public institution Alytus Medical Rehabilitation and Sports Centre

The development of palliative treatment and nursing care services in Alytus Medical Rehabilitation and Sports Centre

137.8 117.1

4. Public institution Alytus District Municipality Primary Health Care Centre

Improving the quality of palliative treatment and nursing care services in Alytus District

180.1 153.1

5. Public institution Anykščiai District Municipality Hospital

Upgrading the infrastructure of secondary care outpatient, outpatient rehabilitation services, emergency reception, day surgery department and palliative treatment and nursing care development in PI Anykščiai District Municipality Hospital

956.9 813.4

6. Public institution Anykščiai District Municipality Primary Health Care Centre

Improving the quality of palliative treatment and nursing care services in Anykščiai District

628.9 534.6

7. Public institution Ariogala Primary Health Care Centre

The development of palliative treatment and nursing care services in PI Ariogala Primary Health Care Centre

427.2 363.1

8. Public institution Biržai Hospital

Improving the quality of outpatient, inpatient and palliative treatment and nursing care services in PI Biržai Hospital

592.4 503.6

9. Public institution Druskininkai Hospital

The development of the infrastructure of secondary care outpatient, outpatient rehabilitation, palliative treatment and nursing care, day surgery services and emergency reception–emergency medical assistance department in PI Druskininkai Hospital

685.5 582.7


The development of palliative treatment and nursing and palliative care services in PI Druskininkai Primary Health Care Centre

456.7 388.2

11. Public institution Eišiškės Primary Health Care Centre

The improvement of palliative treatment and nursing care services in PI Eišiškės Primary Health Care Centre

171.2 145.5

12. Public institution Elektrėnai Hospital

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services, PI Elektrėnai Hospital

1,112.7 945.8

13. Public institution Grigiškės Health Care Centre

The improvement of palliative treatment and nursing care services in PI Grigiškės Health Care Centre

252.8 214.9




14. Public institution Ignalina District Hospital

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services, Public institution Ignalina District Hospital

511.5 434.8

15. Public institution Jonava Hospital

The development of outpatient rehabilitation and palliative care services and the optimisation of inpatient care services in PI Jonava Hospital

710.8 604.2


The modernisation of nursing care and palliative treatment department, establishment of palliative care beds in PI Jonava Hospital and Jonava Primary Health Care Centre

415 352.8

17. Public institution Joniškis Hospital

Improving the quality of services provided by PI Joniškis Hospital through the modernisation of outpatient, outpatient rehabilitation, palliative treatment and nursing care, emergency reception–emergency medical assistance and day surgery services

1,051.2 893.6

18. Public institution Jurbarkas Hospital

Improving the quality of services provided by PI Jurbarkas Hospital through the modernisation of outpatient, outpatient rehabilitation, palliative treatment and nursing care, emergency reception–emergency medical assistance and day surgery services

1,404.7 1,194

19. Public institution K. Grinius Nursing and Supportive Care Hospital

Improving the quality of palliative treatment and nursing care services in Kaunas City Municipality

1,280.2 1,088.1

20. Public institution Kaišiadorys Hospital

Improving the quality of outpatient and palliative treatment and nursing care services in PI Kaišiadorys Hospital

1,100.7 935.6


The development of palliative treatment and nursing and palliative care services in PI Kaltinėnai Primary Health Care Centre

377 320.4

22. Public institution Kalvarija Hospital

Improving the quality of palliative treatment and nursing care services in PI Kalvarija Hospital

188.2 160


The development of outpatient rehabilitation, day surgery services, provision of the reception department with necessary equipment and introduction of palliative care services in PI Republican Hospital of Kaunas

1,213.2 1,031.2


The modernisation of the radiology department and the development and quality improvement of outpatient services in PI Kauno Centro Poliklinika

237.5 201.9


The development of secondary care outpatient and outpatient rehabilitation services in Kaunas Dainava Outpatient Clinic

527.3 448.2

26. Public institution Kaunas Kalniečiai Outpatient Clinic

The modernisation of the departments of physical medicine and rehabilitation and x-ray of PI Kaunas Kalniečiai Outpatient Clinic

236.6 201.1




27. Public institution Kaunas Clinical Hospital

The rehabilitation of the infrastructure of PI Kaunas Clinical Hospital for providing reception-emergency medical assistance, day surgery and outpatient rehabilitation services in PI Kaunas Clinical Hospital

1,178.2 1,001.5

28. Public institution Kaunas Clinical Hospital

The modernisation of the infrastructure and the development of medical services in PI Kaunas Clinical Hospital

1,139.5 968.6


The upgrading of laboratory diagnostic infrastructure of PI Kauno Klinikos 5,869.4 4,989

30. Public institution Kaunas Panemunė Nursing and Palliative Care Hospital

Improving the quality of palliative treatment and nursing care services in Kaunas City Municipality

1,485.6 1,262.7

31. Public institution Kaunas Nursing Home Hospital

The reconstruction and the development of palliative care services of PI Kaunas Nursing Home Hospital

605.3 514.5

32. Public institution Kaunas Šančiai Outpatient Clinic

The improvement of radiological diagnostic quality in PI Kaunas Šančiai Outpatient Clinic

115.8 98.5


The development of outpatient diagnostic and rehabilitation services in PI Kaunas Šilainiai Outpatient Clinic

344.2 292.6

34. Public institution Kazlų Rūda Hospital

The improvement of the infrastructure for providing palliative treatment and nursing care services of PI Kazlų Rūda Hospital

318.1 270.4

35. Public institution Kėdainiai Hospital

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Kėdainiai Hospital

1,348.2 1,145.9

36. Public institution Kelmė Hospital

Overhaul of the infrastructure of Kelmė Hospital in the fields of provision of reception–emergency medical assistance, day surgery, outpatient care services, outpatient rehabilitation, palliative treatment and nursing care and inpatient palliative care services

1,414.6 1,202.5

37. Public institution Klaipėda Seamen’s Hospital

Improving the quality of services provided by PI Klaipėda Seamen’s Hospital through the modernisation of the infrastructure of outpatient rehabilitation, palliative treatment and nursing care, emergency reception–emergency medical assistance and day surgery services

1,473.4 1,252.4


The development of day surgery services in PI Republican Hospital of Klaipėda

2,002.6 1,702.2

39. Public institution Klaipėda Medical Care Hospital

The development of palliative treatment and nursing care and palliative care services and improvement of the quality of services in Klaipėda Medical Care Hospital

597.5 507.9




40. Public institution Klaipėda Health Care Centre

The improvement and modernisation of the infrastructure and availability of outpatient rehabilitation services in the third unit of public institution Klaipėda Health Care Institution

473.6 402.5


The improvement of the operation of PI Klaipėda University Hospital in the fields of the development of infrastructure of outpatient care and outpatient rehabilitation, palliative treatment and nursing care and day surgery services

1,486.8 495

42. Public institution Klaipėda Children’s Hospital

The modernisation of day surgery operating theatres and improvement of the quality of palliative assistance services in PI Klaipėda Children’s Hospital

279.3 237.4

43. Public institution of Kretinga District Municipality Kretinga Hospital

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Kretinga Hospital

1,092.8 928.9

44. Public institution of Kretinga District Municipality Salantai Primary Health Care Centre

The development and quality improvement of palliative treatment and nursing care and palliative care services provided by Kretinga District Municipality PI Salantai Primary Health Care Centre

207.1 176.1

45. Public institution Kupiškis Hospital

The development of secondary care outpatient and outpatient rehabilitation services in PI Kupiškis Hospital

805.2 684.4

46. Public institution Kuršėnai Hospital

Improving the quality of outpatient, palliative care and nursing care services in PI Kuršėnai Hospital

418.3 355.6

47. Public institution Lazdijai Hospital

Improving the quality of inpatient and palliative treatment and nursing care services in PI Lazdijai Hospital

977.5 830.8

48. Public institution Lazdynai Outpatient Clinic

Improving the infrastructure for providing secondary care outpatient services in PI Lazdynai Outpatient Clinic

382 324.7

49. Ministry of Health of the Republic of Lithuania

The development of Outpatient Services in PI Vilnius University Antakalnis Hospital

478.7 406.9


The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Marijampolė Hospital

812.5 690.6

51. Public institution Mažeikiai Hospital

The development and improvement of the infrastructure of secondary health care services in PI Mažeikiai Hospital

1,375.4 1,169.1

52. Public institution Mykolas Marcinkevičius Hospital

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Mykolas Marcinkevičius Hospital

1,561.8 1,327.5

53. Public institution Molėtai Hospital

Improving the quality and availability of outpatient diagnostics, day surgery, reception and emergency medical assistance, palliative treatment, nursing care and palliative care services in PI Molėtai Hospital

972.1 826.3




54. Public institution Naujininkai Outpatient Clinic

Improving the quality of secondary health care services and the optimisation of their infrastructure in PI Naujininkai Outpatient Clinic

392.1 333.3

55. Public institution Naujoji Akmenė Hospital

Improving the quality of services provided by PI Naujoji Akmenė Hospital through the modernisation of the infrastructure of outpatient care, outpatient rehabilitation services and introducing palliative care services

461.5 392.2

56. Public institution Naujoji Vilnia Outpatient Clinic

Improving the infrastructure of secondary outpatient care services of PI Naujoji Vilnia Outpatient Clinic

288.4 245.1

57. Public institution Neringa Primary Health Care Centre

Improving the quality of palliative treatment and nursing care services in Neringa Municipality

63.5 54

58. Public institution Onuškis Palliative Care and Nursing Care Hospital

The development and quality improvement of palliative treatment and nursing care services in PI Onuškis Palliative Care and Nursing Care Hospital

240.3 204.3

59. Public institution Pakruojis Hospital

The development of outpatient services and the optimisation of inpatient services in PI Pakruojis Hospital

854 725.9


The development of outpatient rehabilitation services in Likėnai Rehabilitation Hospital, Branch of PI Panevėžys Hospital

177 150.4


The development of outpatient rehabilitation and day surgery services in PI Republican Hospital of Panevėžys

887.3 754.2

62. Public institution Panevėžys Extended Care Hospital

Improving the quality of palliative treatment and nursing care services in Panevėžys City Municipality

1,337.8 1,137.1

63. Public institution Panevėžys District Municipality Outpatient Clinic

The development and infrastructure improvement of secondary outpatient care, nursing care and palliative treatment services in PI Panevėžys District Municipality Outpatient Clinic

1,290.2 1,096.6

64. Public institution Pasvalys Hospital

The improvement of the infrastructure of PI Pasvalys Hospital for providing secondary care outpatient consulting, outpatient rehabilitation, day surgery, reception–emergency medical assistance and nursing care and palliative treatment services

977.2 830.6

65. Public institution Plungė District Municipality Hospital

The development and quality improvement of outpatient services, nursing care and palliative treatment services and the optimisation of inpatient services in PI Plungė District Municipality Hospital

1,183.7 1,006.1

66. Public institution Prienai Hospital

The development of outpatient services and the optimisation of inpatient services in PI Prienai Hospital

915.8 778.4

67. Public institution Radviliškis Hospital

The development and infrastructure modernisation of outpatient care, outpatient rehabilitation, reception–emergency medical assistance, day surgery, nursing care and palliative treatment and palliative care services in PI Radviliškis Hospital

1,217.8 1,035.1




68. Public institution Raseiniai Hospital

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Raseiniai Hospital

1,334 1,133.9

69. Public institution Rietavas Primary Health Care Centre

Improving the quality of palliative treatment and nursing care services in Rietavas Municipality

555.4 472.1

70. Public institution Rokiškis District Hospital

Improving the quality of outpatient, inpatient and palliative treatment and nursing care services in PI Rokiškis Hospital

1,148.1 975.9

71. Public institution Seda Primary Health Care Centre

Improving the quality of palliative treatment and nursing care services in PI Seda Primary Health Care Centre

731.9 622.1

72. Public institution Skaudvilė Extended Care Hospital

Improving the quality of palliative treatment and nursing care services in Tauragė District Municipality

651.1 553.4

73. Skuodas Primary Health Care Centre

Improving the quality of palliative treatment and nursing care services in Skuodas District Municipality

410.5 348.9

74. Public institution Šakiai Hospital

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Šakiai Hospital

909 772.7

75. Public institution Šalčininkai District Municipality Hospital

The development of the infrastructure of the departments of secondary care outpatient, outpatient rehabilitation, palliative treatment and nursing care, day surgery services and reception–emergency medical assistance in PI Šalčininkai District Hospital

657.7 559


The optimisation of inpatient services in PI Republican Hospital of Šiauliai

218.6 185.8

77. Šiauliai Long-Term Care and Geriatric Centre

The development and modernisation of the palliative treatment and nursing care departments and establishment of palliative care department in Šiauliai Long-Term Care and Geriatric Centre

1,015.9 863.5

78. Public institution Šilalė District Hospital

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in Šilalė District Hospital

542.4 461.1

79. Public institution Šilutė Hospital

Improving the quality of services provided by PI Šilutė Hospital through the modernisation of the infrastructure of outpatient, outpatient rehabilitation, reception–emergency medical assistance department, of day surgery, palliative treatment and nursing care services

1,277.4 1,085.8

80. Public institution Širvintos Hospital

Upgrading the infrastructure of secondary care outpatient, reception–emergency medical assistance department and development of palliative treatment and nursing care services in PI Širvintos Hospital

600.4 510.3

81. Public institution Saint Clare’sHospice

Improving the quality of palliative treatment and nursing care services in Utena District

226.3 192.4




82. Public institution Švenčionys District Hospital

The development of outpatient services and the optimisation of inpatient services of PI Švenčionys Hospital

411.7 350

83. Public institution Švenčionys District Primary Health Care Centre

The development of palliative treatment, nursing care and palliative care services of PI Švenčionys District Primary Health Care Centre

430.1 365.6


The development of day surgery, nursing care and palliative care services and the optimisation of inpatient services

1,594.5 1,355.3


Improving the quality of services provided by PI Regional Hospital of Telšiai through the modernisation of the infrastructure of day surgery, outpatient rehabilitation, palliative treatment and nursing care, palliative care services

801.6 681.4

86. Public institution Trakai Hospital

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Trakai Hospital

780.8 663.7

87. Public institution Ukmergė Hospital

The development of outpatient services and the optimisation of inpatient services in PI Ukmergė Hospital

1,332.2 1,132.4

88. Public institution Varėna Hospital

The development of outpatient services and the optimisation of inpatient services in PI Varėna Hospital

477.4 405.8

89. Public institution Varėna Primary Health Care Centre

The development and optimisation of palliative treatment and nursing care services at PI Varėna Primary Health Care Centre

125.3 106.5

90. Varniai Primary Health Care Centre

The development of palliative treatment and nursing care services, improvement of availability and quality, establishment of inpatient beds for palliative care patients at Public institution Varniai Primary Health Care Centre

82.3 69.9

91. Public institution Vilkaviškis Hospital

Improving the availability and quality of health care services provided by PI Vilkaviškis Hospital

1,106.6 940.6

92. Public institution Vilkija Primary Health Care Centre

Improving the availability of palliative treatment and nursing and palliative care services in PI Vilkija Primary Health Care Centre

291.5 247.8

93. Public institution Vilnius Outpatient Clinic

The development of secondary outpatient personal health care services and outpatient rehabilitation services, improving quality and availability at PI Antakalnis Outpatient Clinic

786.7 668.7

94. Public institution Central Outpatient Clinic

The development of outpatient diagnostic and rehabilitation services in PI Central Outpatient Clinic

1,100.6 935.5

95. Public institution Karoliniškės Outpatient Clinic

The development of secondary care outpatient, outpatient rehabilitation services and infrastructure improvement in PI Karoliniškės Outpatient Clinic

1,031.7 876.9

96. Public institution Vilnius City Clinical Hospital

Improving the quality of outpatient rehabilitation, reception–emergency medical assistance and day surgery services in PI Vilnius City Clinical Hospital Antakalnis Branch

1.452.1 1,234.3




97. Administration of Vilnius City Municipality

The reconstruction of the premises of St. Roch’s Hospital in order to improve the quality of nursing care and palliative treatment and palliative care services

1,204.1 1,023.5

98. Public institution Šeškinė Outpatient Clinic

The assurance of development and quality of outpatient health care services in public institution Šeškinė Outpatient Clinic

712.2 605.4

99. Public institution Vilnius City University Hospital

The development of day surgery services and the improvement of the infrastructure of reception–emergency medical assistance department in PI Vilnius City University Hospital

1,465.2 1,245.4

100. Public institution Vilkpėdė Hospital

Improving the quality of palliative treatment and nursing care services in Vilnius City

311.5 264.8

101. Public Institution Central Outpatient Clinic of Vilnius District

The development of outpatient services and the establishment of palliative care beds in PI Central Outpatient Clinic of Vilnius District

682.8 580.4

102. Public Institution Vilnius District Nemenčinė Outpatient Clinic

The improvement of the infrastructure of secondary outpatient care and palliative treatment and nursing care services in PI Vilnius District Nemenčinė Outpatient Clinic

239.4 203.5


Improving the quality of day surgery services in PI Republican Vilnius University Hospital

408.4 347.1


The development of outpatient rehabilitation, palliative treatment and nursing care and day surgery services in Children’s Hospital, public institution Vilnius University Hospital Santariškių Klinikos

884.6 751.9

105. Vilnius University Hospital Santariškių Klinikos

The reconstruction and installation of the premises of the Reception Department and Outpatient Rehabilitation Department of VUH Santariškių Klinikos

14,191 12,062.3

106. Public institution Vilnius University Hospital Žalgirio Clinic

The refurbishment of the infrastructure of the reception–emergency medical assistance department and the development of day surgery services in Vilnius University Hospital Žalgirio Clinic

468.4 398.1

107. Public institution Visaginas Hospital

The development of outpatient services, the optimisation of inpatient services, the development of palliative treatment and nursing care services in PI Visaginas Hospital

960.4 816.4

108. Public institution of Zarasai District Municipality Zarasai Hospital

The rehabilitation of the infrastructure of outpatient rehabilitation, reception–emergency medical assistance department and the development of palliative treatment and nursing care by introducing palliative care in PI Zarasai Hospital

155.8 132.4

109. Public institution of Zarasai District Municipality Zarasai Hospital

The development of the rehabilitation of the infrastructure of secondary consulting outpatient clinic in PI Zarasai Hospital of Zarasai District Municipality

119.1 101.2


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

Pakruojis

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

Gargždai i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai

a

V

Birštonas

s

Rietavas

1. Public institution Abromiškės Rehabilitation Hospital

2. Public institution Alytus County V. Kudirka Hospital3. Public institution Alytus Medical Rehabilitation and Sports Centre4. Public institution Alytus District Municipality Primary Health Care Centre

9. Public institution Druskininkai Hospital


Prienai

Seda

Onuškis

5. Public institution Anykščiai District Munici-pality Hospital6. Public institution Anykščiai District Munici-pality Primary Health Care Centre

8. Public institution Biržai Hospital

70. Public institution Rokiškis District Hospital

37. Public institution Klaipėda Seamen’s Hospital


39. Public institution Klaipėda Medical Care Hospital

40. Public institution Klaipėda Health Care Centre


42. Public institution Klaipėda Children’s Hospital

51. Public institution Mažeikiai Hospital

55. Public institution Naujoji Akmenė Hospital

71. Public institution Seda Primary Health Care Centre


Kuršėnai

Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


PasvalysPakruojis

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

Gargždai

i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai

a

V

Birštonas

s

Rietavas

19. Public institution K. Grinius Nursing and Supportive Care Hospital


26. Public institution Kaunas Kalniečiai Outpatient Clinic

27-28. Public institution Kaunas Clinical Hospital


30. Public institution Kaunas Panemunė Nursing and Palliative Care Hospital

31. Public institution Kaunas Nursing Home Hospital

32. Public institution Kaunas Šančiai Outpatient Clinic





60–61. Public institution Republican Hospital of Panevėžys

62. Public institution Panevėžys Extended Care Hospital

63. Public institution Panevėžys District Municipality Outpatient Clinic

108–109. Public institution of Zarasai District Municipality Zarasai Hospital


77. Šiauliai Long-Term Care and Geriatric Centre

46. Public institution Kuršėnai Hospital

74. Public institution Šakiai Hospital

90. Varniai Primary Health Care Centre


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


Pasvalys

Pakruojis

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

Gargždai i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai

a

V

Birštonas

s

Rietavas

Prienai

Seda

Onuškis

48. Public institution Lazdynai Outpatient Clinic49. Ministry of Health of the Republic of Lithuania52. Public institution Mykolas Marcinkevičius Hospital54. Public institution Naujininkai Outpatient Clinic56. Public institution Naujoji Vilnia Outpatient Clinic92. Public institution Vilkija Primary Health Care Centre93. Public institution Vilnius Outpatient Clinic94. Public institution Central Outpatient Clinic95. Public institution Karoliniškės Outpatient Clinic96. Public institution Vilnius City Clinical Hospital97. Administration of Vilnius City Municipality98. Public institution Šeškinė Outpatient Clinic99. Public institution Vilnius City University Hospital100. Public institution Vilkpėdė Hospital101. Public Institution Central Outpatient Clinic of Vilnius District102. Public Institution Vilnius District Nemenčinė Outpatient Clinic103. Public institution Republican Vilnius University Hospital104–105. Public institution Vilnius University Hospital Santariškių Klinikos106. Public institution Vilnius University Hospital Žalgirio Clinic

18. Public institution Jurbarkas Hospital

22. Public institution Kalvarija Hospital


47. Public institution Lazdijai Hospital

11. Public institution Eišiškės Primary Health Care Centre


88. Public institution Varėna Hospital

Eišiškės


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava

BiržaiSkuodas

Joniškis

Pasvalys

Pakruojis

Radviliškis

Mažeikiai

KretingaPlung

Gargždai i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai

a

V

Birštonas

s

Rietavas

Prienai

Seda

Ariogala

Onuškis

Vilkija

34. Public institution Kazlų Rūda Hospital

66. Public institution Prienai Hospital


91. Public institution Vilkaviškis Hospital

69. Public institution Rietavas Primary Health Care Centre

73. Skuodas Primary Health Care Centre

78. Public institution Šilalė District Hospital


7. Public institution Ariogala Primary Health Care Centre

17. Public institution Joniškis Hospital

36. Public institution Kelmė Hospital

67. Public institution Radviliškis Hospital

68. Public institution Raseiniai Hospital

15. Public institution Jonava Hospital


20. Public institution Kaišiadorys Hospital

58. Public institution Onuškis Palliative Care and Nursing Care Hospital


81. Public institution Švenčionys District Hospital

82. Public institution Švenčionys District Primary Health Care Centre


Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava

BiržaiSkuodas

Joniškis

Pasvalys

Pakruojis

Radviliškis

Mažeikiai

Kretinga

Plung

Gargždai i

Širvintos

Jurbarkas

Šakiai


Kalvarija

Lazdijai

a

V

Birštonas

s

Rietavas


43. Public institution of Kretinga District Municipality Kretinga Hospital

44. Public institution of Kretinga District Municipality Salantai Primary Health Care Centre

57. Public institution Neringa Primary Health Care Centre

65. Public institution Plungė District Municipality Hospital

72. Public institution Skaudvilė Extended Care Hospital


89. Public institution Varėna Primary Health Care Centre

12. Public institution Elektrėnai Hospital

13. Public institution Grigiškės Health Care Centre

75. Public institution Šalčininkai District Municipality Hospital

14. Public institution Ignalina District Hospital

45. Public institution Kupiškis Hospital

53. Public institution Molėtai Hospital

35. Public institution Kėdainiai Hospital

59. Public institution Pakruojis Hospital

64. Public institution Pasvalys Hospital


107. Public institution Visaginas Hospital

80. Public institution Širvintos Hospital

Varniai

Kaltinėnai

Skaudvilė

Grigiškės

Kupiškis

Visaginas


Public institution Abromiškės Rehabilitation Hospital

2.

3.

1.

1. A knee joint flexing training apparatus. 2. Demonstration of ergotherapy system. 3. Reconstructed ergotherapy area and equipment.


Public institution Abromiškės Rehabilitation Hospital

4.

5.

4. An equipped internal disease prevention training class. 5. A purchased treadmill for movement exercises.


Public institution Anykščiai District Municipality Hospital

6.

9.8.7.

6. Reconstructed reanimation room, surgery room. A purchased anaesthetic apparatus and equipment for electrocautery. 7–9. The hospital has purchased new medical equipment. Pictures of artificial lung ventilation equipment, vacuum pump and a Fango-Paraffin preparation equipment.


Public institution Anykščiai District Municipality Hospital

10.

11.

10. Physical Medicine and Rehabilitation Division was supplied with shoulder and knee joint exercise apparatus. 11. Vertical bath tub facilities.


Public institution Anykščiai District Municipality Primary Health care centre

12, 13. Renovated Troškūnai Maintenance Treatment and Care Hospital. Pictures of renovated front of the building and a corridor.

12.

13.



14. Renovated front of the building of Druskininkai PHCC Medical Care and Maintenance Treatment Division. 15. Recreational zone in the second floor.

14.

15.


Public institution Druskininkai Hospital

16.

18.17.

16–18. A mechanotherapy equipment purchased by the hospital. Pictures of a hand and a leg of a patient exercised by the mechanotherapy equipment.


Public institution Ignalina District Hospital

21.19.

20.

19–21. A purchased artificial lung ventilation equipment, a surgery table and an equipment for electrocautery.


Public institution Joniškis Hospital

24.

23.

22.

25.

22. Reconstruction works of Joniškis Hospital and upgrading of medical equipment. 23. Physical Medi-cine and Rehabilitation Division was equipped with a regulated height massage couch and a massage chair. 24. A high pressure vacuum pump, an anaesthetic apparatus, a monitor of vital functions and a mobile x-ray equipment for the surgery room. 25. Intensive care room was equipped with an artificial lung ventilation appa-ratus and a monitor of vital functions.


Public institution Jurbarkas Hospital

26. The hospital has purchased a modular combined electrotherapy and ultrasound therapy unit of low-and medium-frequency waves. 27, 28. Outpatient rehabilitation has purchased a shock wave equipment and a Fango-Paraffin preparation heater. 29. Reconstruction of the day surgery room.

26. 27. 28.

29.


Public institution Kaišiadorys Hospital

30. 33.

32.

31.

30–33. Reconstruction of traumatologic dressing room, pulmonology room, massage room and a care station.



34. The purchased ambulance vehicle. 35. Therapeutic pool.

35.

34.



36, 37. Constructions of Kauno Klinikos Laboratory Block.

37.

36.


Public institution Kaunas clinical Hospital

38, 39. Reconstruction of a hydro-massage room and a surgery room.

39.

38.


Public institution Kaunas Kalniečiai outpatient clinic

40–42. Reconstruction of children’s exercise room in FMR Division, endoscopy room of Diagnostic Division and a room of electric procedures of FMR Division.

40.

42.41.


Public institution Kaunas nursing Home Hospital

43, 44. A set-up room for family members of a palliative patient and a stationary lift of a patient. 45. A purchased patient’s monitoring apparatus. 46, 47. Reconstruction of the second floor staircase and a lobby of the corridor. 48. A massage table in the kinesitherapy area.

43.

47.

44.

48.

45. 46.


Public institution Kaunas Šilainiai outpatient clinic

49. Repair of Radiology Subdivision room. 50. Patient’s treatment by a new magnetotherapy apparatus.

49.

50.


Public institution Kuršėnai Hospital

51. Patients’ lift to bath apparatus. 52, 53. The hospital was equipped with new medical equipment. Pictures of a patient’s monitoring apparatus and a stationary x-ray apparatus.

51. 52.

53.


Public institution Kėdainiai Hospital

54. X-ray and Echoscopy Division was equipped with a new echoscope. 55. New surgery table, equipment for electrocautery, multipurpose control console for the Surgery Division. 56. New stationary x-ray apparatus for the X-ray and Echoscopy Division.

55.

56.

54.


Public institution Kelmė Hospital

57. Reconstruction of the building of Kelmė Hospital. 58. Renovated patients’ reception in Emergency Division. 59. New functional patient’s beds, monitoring equipment and an artificial lung ventilation apparatus in the Reanimation–Intensive Therapy Division.

57.

59.58.


Public institution Klaipėda seamen’s Hospital

60–62. New equipment of kinesitherapy area. Pictures of extension equipment, electric kinesitherapy table, walking system, and a table of verticalisation. 63. The renovated room of water procedures. A new water massage bath.

62.

63.

61.60.



64. An installed room of palliative care. 65, 66. A renovated day surgery room and post-surgery room.

64.

65. 66.


Public institution Kupiškis Hospital

67. An echoscopy room was equipped with an ultrasound diagnostic apparatus. 68. A new portative x-ray apparatus.

67.

68.


Public institution Likėnai Rehabilitation Hospital

69–71. Renovated kinesitherapy area and physiotherapy room.

69. 70.

71.



72. A unit of vertical bath equipment in the Division of Physical Medicine and Rehabilitation. 73, 74. Rooms of electric procedures and ergotherapy.

72.

74.73.


Public institution Molėtai Hospital

75. Interior repair of the hospital. Picture of the renovated corridor. 76. Renovated surgery room. New lamp. 77. Reception was equipped with a portative ultrasound apparatus. 78. The purchased echoscope.

75.

76.

77. 78.


Public institution Pakruojis Hospital

79. Pakruojis Hospital Consultation Clinic was equipped with endoscopic apparatus with a video gastroscope. 80. A renovated station of an on-duty carer at the Reception. 81. Otorhinolaryngological endoscopic system in the otorhinolaryngology room. 82. A renovated x-ray room at the consultation clinics.

79. 82.

81.

80.


Public institution Pasvalys Hospital

84.

83.

83. Reanimation ward equipped with an infusomat and functional beds. 84. Kinesitherapy room equipped with a new massage table. Improved conditions for sports exercises.


Public institution Plungė District Municipality Hospital

85–88. New medical equipment of the hospital. Pictures of a video gastrofibroscope, video colonoscope, surgery room lamp, defibrillator and equipment for compression therapy.

85. 88.

87.

86.


Public institution Prienai Hospital

89. Premises of a reconstructed Prienai Hospital. 90. Gastroenterology room equipped with a videogastroscope. 91, 92. Renovated wards and a corridor in the Maintenance Treatment and Care Division.

92.91.

90.

89.


Public institution Šilutė Hospital

93–95. The hospital was equipped with a new medical equipment. Pictures of an electrocardiagraph, defibrillator, apparatus for stretching the spine, gastroscope and an endoscope.

93.

95.94.


Public institution Širvintos Hospital

96, 97. Renovated dressing room in the Care and Maintenance Treatment Division, new cardiopulmonary equipment. 98. Newly equipped massage room.

96. 97.

98.


Public institution Švenčionys District Hospital

99 102.

101.

100.

99. Video endoscope purchased by the hospital. 100–102. Repair of the interior of premises. Pictures of a repaired ward, a dental facility and a laboratory.


Public institution trakai Hospital

103. Renovated x-ray premises. 104–106. Newly purchased medical equipment. Pictures of equipment for electrocautery and artificial lung ventilation, colposcope.

103.

106.105.104.


Public institution Ukmergė Hospital

107. 110.

109

108.

107. Vertical bathtub in the outpatient rehabilitation. 108. Upgraded mammography room. 109. New difibrillator in the Cardiology Division. 110. New equipment of an ophthalmology room in Consultation Clinics.


Public institution saint clare’s Hospice

111. Complete repair of the hospital. 112. Renovated bathroom, newly acquired bedpan washing machine. 113. New monitoring equipment of the hospital.

113.

112.111.


Public institution Varėna Hospital

114. 115.

116.

114–116. Newly acquired medical equipment. Pictures of a new video gastroscope, new radiology room and a digital radiology equipment.


Public institution Antakalnis outpatient clinic

117, 118. Knee joint training apparatus and bicycle ergometer. 119–122. Modern medical equipment of the clinics. Pictures of a combined physiotherapy apparatus, ultrasound diagnostic apparatus, a gastroscope, a colonoscope.

117. 118. 119.

122.121.120.


Public institution Vilnius city University Hospital

123.

124.

125. 126.

123–126. Employees of the hospital appreciate the new medical equipment. Pictures of a surgery room lamp, an infusomat, a defibrillator and an anaesthetic apparatus with a monitoring system.


Public institution central outpatient clinic of Vilnius District

127.

129.128.

127. Repair of the premises of the clinics. 128, 129. New medical equipment. Pictures of a digital ultrasound diagnostic apparatus, combined light and electromagnetic field therapy apparatus.


Public institution Mykolas Marcinkevičius Hospital

130.

131.

132.

133.

130–133. Hospital renovation. Modern medical equipment. Pictures of the renovated corridor of the Second Maintenance Treatment and Care Division, the monitoring ward and endoscopy room of the Emergency and Outpatient Consultation Division.


Public institution Vilnius District nemenčinė outpatient clinic

134.

135.

136. 137.

134. Haematology analyser purchased by the clinics. 135. Repaired wards, new beds. 136, 137. Repaired x-ray room equipped with a new x-ray apparatus.


Public institution Vilnius District nemenčinė outpatient clinic

138. 140.

139.

138–140. Staff of the clinics appreciates the new medical equipment. Pictures of an autoclave, a defibrillator and a new patient lift.


Public institution Visaginas Hospital

141, 142. Reconstructed interior. Pictures of a renovated hall and otorhinolaryngology room of the Division of Diagnostics and Consultations.

141.

142.


Development of the infrastructure of public health care services in

municipalities

tHe eLeVentH MeAsURe


Public health care services provided in Lithuanian municipalities were often unsystematic, insufficient, fragmented, poorly coordinated or not provided at all. There was a lack of properly prepared health care monitoring programmes designed to provide detailed information about public health care, risk factors allowing identifying public health care problems and prioritising improvements, plan and implement health strengthening and prevention measures especially among children and youth. Sometimes municipality-prepared health promoting programmes were short-lived. This measure was initially aimed at the development of infrastructure and improvement of accessibility and quality of public health services in municipalities. Therefore, it was decided to establish new or modernise already existing public health care offices, provide them with communication and other modern technologies, which would help evaluate the need for public health programmes and examine their scope,

prepare and implement health strengthening programmes important for local communities, spread information on various ways of improving public health, cooperate with state institutions, non-governmental organisations, community, families and others.

Implementation of the measure Development of the infrastructure of public health care services in municipalities resulted in the establishment or modernisation of public health offices in many Lithuanian municipalities (one in each of the biggest Lithuanian cities including Vilnius, Kaunas, Klaipėda, Šiauliai and Panevėžys, and no more than two in each county). Municipality buildings were renovated, reconstructed and equipped with new public health office space, fitted with necessary furniture, modern technology, teaching equipment, transport and other work tools. This way, conditions were created and improved to facilitate a more effective operation of public health offices designed to provide local

Development of the infrastructure of public health care services in municipalities

217Development of the infrastructure of public health care services in municipalities

communities with a variety of health care services: monitor health changes within local communities, develop appropriate programmes especially paying attention to children and youth health, enable professionals to improve their qualification, work on the dissemination of information on health promotion, coordinate operations of relevant state and non-governmental organisations and others.

Following the implementation of the measure Development of the infrastructure of public health care services in municipalities, public health offices were installed or modernised in many municipalities. It helped the Lithuanian public access information on health promotion as well as improve and protect its health, which in turn helped reduce morbidity rates from the most common diseases.




1. Alytus City Municipality Public Health Office

Development of Alytus City Municipality Public Health Office 160.9 136.7

2. Biržai District Municipality Public Health Office

Modernisation of infrastructure of Biržai District Municipality Public Health Office

75.1 63.9

3. Ignalina District Municipality Public Health Office

Modernisation of Ignalina District Municipality Public Health Office 130.9 111.3

4. Joniškis District Municipality Public Health Office

Development of infrastructure of public health care services in Joniškis district municipality

113.1 96.2

5. Kaišiadorys District Municipality Public Health Office

Modernisation of Kaišiadorys District Municipality Public Health Office 96.2 81.8

6. Kaunas City Municipality Public Health Office

Modernisation of Kaunas City Municipality Public Health Office 272.4 231.5

7. Kaunas District Municipality Public Health Office

Development and modernisation of infrastructure of Kaunas District Municipality Public Health Office

34.1 29

8. Kėdainiai District Municipality Public Health Office

Modernisation of Kėdainiai District Municipality Public Health Office 97 82,4

9. Kelmė District Municipality Public Health Office

Modernisation of Kelmė District Municipality Public Health Office and development of the quality of public health care services

91.6 77.9

10. Klaipėda City Municipality Public Health Office

Complete repair of the premises in the third floor of the building by accommodating it to BI Klaipėda City Municipality Public Health Office (Taikos pr. 76, Klaipėda)

297 252.4

11. Klaipėda District Municipality Public Health Office

Development of infrastructure of the public health care services at Klaipėda district municipality

87 73.9

12. Lazdijai District Municipality Public Health Office

Development of the infrastructure of public health care office services in Lazdijai

195.9 166.5

13. Marijampolė Municipality Public Health Office

Modernisation of Marijampolė Municipality Public Health Office and upgrade of technical and technological basis

195.9 166.5

14. Panevėžys City Municipality Public Health Office

Development of infrastructure of Panevėžys city municipality public health care services

77.1 65.5




15. Panevėžys District Municipality Public Health Office

Development of public health care services infrastructure in Panevėžys district municipality

77.5 65.8

16. Pasvalys District Municipality Public Health Office

Modernisation of Pasvalys District Municipality Public Health Office 74.8 63.6

17. Plungė District Municipality Public Health Office

Modernisation of Plungė District Municipality Public Health Office 253.9 215.8

18. Prienai District Municipality Public Health Office

Modernisation of Prienai District Municipality Public Health Office 33.9 28.8

19. Rokiškis District Municipality Public Health Office

Development of infrastructure of Rokiškis District Municipality Public Health Office

111.6 94.9

20. Šakiai District Municipality Public Health Office

Development of infrastructure of Šakiai District Municipality Public Health Office

193 164.1

21. Šiauliai City Municipality Administration

Development of the quality of public health care services in Šiauliai city by modernisation of Šiauliai City Municipality Public Health Office

228.9 194.5

22. Šilalė District Municipality Public Health Office

Modernisation of Šilalė District Municipality Public Health Office 272.9 232

23. Šilutė District Municipality Public Health Office

Modernisation of Šilutė District Municipality Public Health Office 72.6 61.7

24. Švenčionys District Municipality Public Health Office

Development of the activity of ME Švenčionys District Municipality Public Health Office

127.5 108.4

25. Ukmergė District Municipality Public Health Office

Development of the infrastructure of Ukmergė District Municipality Public Health Office

127.5 108.4

26. Utena District Municipality Public Health Office

Modernisation of Utena District Municipality Public Health Office 195.9 166.5

27. Vilnius City Municipality Public Health Office

Development of the infrastructure of public health care services at Vilnius city municipality

314.7 267.5


1. Alytus City Municipality Public Health Office

17. Plungė District Municipality Public Health Office

20. Šakiai District Municipality Public Health Office

21. Šiauliai City Municipality Administration

22. Šilalė District Municipality Public Health Office

23. Šilutė District Municipality Public Health Office

4. Joniškis District Municipality Public Health Office

6. Kaunas City Municipality Public Health Office

7. Kaunas District Municipality Public Health Office

8. Kėdainiai District Municipality Public Health Office

9. Kelmė District Municipality Public Health Office

10. Klaipėda City Municipality Public Health Office

11. Klaipėda District Municipality Public Health Office

Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava

BiržaiSkuodas Joniškis

Pasvalys

PakruojisRadviliškis

Mažeikiai

NaujojiAkmen

Kretinga

Plung

Gargždai i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai V

Birštonas

s

Rietavas

Prienai


14. Panevėžys City Municipality Public Health Office

15. Panevėžys District Municipality Public Health Office

16. Pasvalys District Municipality Public Health Office

18. Prienai District Municipality Public Health Office

19. Rokiškis District Municipality Public Health Office

24. Švenčionys District Municipality Public Health Office

25. Ukmergė District Municipality Public Health Office

26. Utena District Municipality Public Health Office

27. Vilnius City Municipality Public Health Office

2. Biržai District Municipality Public Health Office

3. Ignalina District Municipality Public Health Office

5. Kaišiadorys District Municipality Public Health Office

12. Lazdijai District Municipality Public Health Office

13. Marijampolė Municipality Public Health Office

Šiauliai

Utena

Vilnius

Kaunas

Zarasai

Rokiškis

Ignalina

Telšiai

Marijampol

Druskininkai

Alytus

Taurag

Palanga

Raseiniai

Jonava


PasvalysPakruojis

Radviliškis

Mažeikiai

NaujojiAkmen

KretingaPlung

Gargždai

i

Širvintos

Trakai

Jurbarkas

Šakiai


Kalvarija

Lazdijai

a

V

Birštonas

s

Rietavas

Prienai


Alytus city Municipality Public Health office

1. The Office was equipped with training equipment and visual teaching material. 2. The purchased vehicle Lodgy Dacia. 3. Repaired hall of the Office for sports exercises.

3.

1. 2.


Biržai District Municipality Public Health office

4. Repaired premises of the Office, purchased furniture. 5. New office equipment was purchased: a copying machine and a computer.

4.

5.


Joniškis District Municipality Public Health office

6. Repaired premises. In photo: the renovated office of the head of the Office. 7. Training hall.

6.

7.


Kaunas District Municipality Public Health office

8. Renovated premises of the Office. 9. Newly equipped premises for trainings.

8.

9.


Kelmė District Municipality Public Health office

10. Repaired hall of the Office. New visual tools, multimedia equipment. 11. New training related measures.

11.

10.


Kėdainiai District Municipality Public Health office

12. Repaired premises of the Office, purchased equipment and furniture. 13. Kėdainiai district residents are granted conditions to lead a healthy lifestyle.

12.

13.


Klaipėda Public Health office

14. Reconstructed premises for the organisation of training and information events. 15. Newly equipped sports facility.

14.

15.


Lazdijai District Municipality Public Health office

16. Purchased furniture and work related equipment. 17. Newly equipped training facility.

16.

17.


Panevėžys city Public Health office

18. Premises set up for sports and exercises of healthy lifestyle.

18.


Panevėžys city Public Health office

19. An installed hall for trainings. 20. A new public health care room equipped at the Panevėžys Juozas Balčikonis Gymnasium.

19.

20.


Pasvalys District Municipality Public Health office

21–23. The Office was relocated to new more spacious premises, and training related tools were purchased.

21.

22.

23.


Plungė District Municipality Public Health office

24, 25. The repaired training and health care premises.

24.

25.


Prienai District Municipality Public Health office

26. The new vehicle Citroen. 27. The Office was equipped with training related visual tools and equipment.

26.

27.


Rokiškis District Municipality Public Health office

28. A training hall was set up in the Office. 29. Repaired premises of the Office.

28.

29.


Šakiai District Municipality Public Health office

30. Renovated room of health care professionals of the Office. 31. Training hall was set up and visual aids were purchased.

30.

31.


Šilalė District Municipality Public Health office

32. 34.

33.

32. The purchased training related visual measures and equipment. 33. Renovated front of the Office building. 34. New training hall.


Šilutė District Municipality Public Health office

35. 37.

36.

35. The purchased training related visual measures. 36. New furniture of the Office. 37. New copying machine of the Office.


Švenčionys District Municipality Public Health office

38, 39. Renovated front of the Office building, a corridor and other premises. 40. A new public health care room equipped at the Švenčionys Zigmas Žemaitis Gymnasium.

38.

40.39.


Utena District Public Health office

41. Reconstructed building of the Office. 42. The new training hall. 43. Newly purchased vehicle Opel. 44. New visual training aids.

41. 44.

43.

42.


Utena District Public Health office

45. Reconstructed premises of the Office.

45.


Vilnius city Municipality Public Health office

46. 49.

48.

47.

46. Renovated interior and corridor of the Office. 47. A new meeting room, new furniture and necessary equipment. 48. New vehicle Skoda Roomster. 49. New job aids.


Pavadinimas

Investment into the infrastructure of private health care institutions

providing public outpatient and inpatient services

tHe tWeLtH MeAsURe


When implementing the programme Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure, plans were made to modernise all three levels of private health care institutions in accordance with the EU priorities and standards. In Lithuania a number of health care functions are carried out by private medical institutions and include services provided by medical limited liability companies, outpatient clinics, various specialised private doctor’s offices, day centres and clinics. Before the projects were implemented, many of these institutions were not sufficiently equipped with specialised modern medical equipment and special furniture while their premises had not been renovated for a long time. EU funds were allocated in order to enable private health care institutions to provide the same quality medical services as the ones offered by state institutions

on a national level. The funds were used for the reconstruction of medical premises as well as the purchase and renewal of medical and therapy equipment, and computer software.

A total of 37 institutions representing all three levels of private health care participated in the implementation of the measure Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services. Under these projects premises of the above mentioned institutions underwent repairs and reconstruction, were adopted to serve relevant functions and provide various personal health care services; a large number of essential modern medical and programming equipment was acquired in addition to special furniture to meet the needs of these institutions.

Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

245Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

The completion of projects implemented under the measure Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services resulted in the improvement of quality and accessibility of health care services provided by private medical institutions. This is one of the factors that helped to improve the health of Lithuanian population, provide people with medical services on the required level, increase their capacity for work and reduce the amount of social benefits allocated from the state budget to cover unemployment benefits.


No Project promoter Project title EU funding of the project (thousand, EUR)

1. Sole proprietorship A. Vitkausko Development of quality of public outpatient secondary services and accessibility at SP A. Vitkausko

48.3

2. Private limited company Aksanas Development of public outpatient personal health care services provided by PLC Aksanas

91.3

3. Small partnership Alfonso Andrulio kardiologo kabinetas

Supply of diagnostic medical equipment to cardiology clinic providing public outpatient services

52.8

4. Private limited company Alytaus Medea klinika

Development of public outpatient personal health care services in PLC Alytaus Medea Klinika

101

5. Private limited company Antano Lizdenio sveikatos centras

Development of rheumatologic aid to Akmenė and the neighbouring population 58.3

6. Sole proprietorship Arūno Žiurlio klinika

Development of infrastructure of secondary outpatient services at SP Arūnas Žiurlys Klinika

72.6

7. Private limited company Baltijos ir Amerikos terapijos ir chirurgijos klinika

Development of public outpatient and stationary services infrastructure at PLC Baltic American Clinic

578.4

8. Private limited company Bendrosios medicinos praktika

Improvement of infrastructure of day surgery services at PLC Bendrosios Medicinos Praktika

256.1

9. Private limited company Lietuvos ir Prancūzijos uždaroji akcinė bendrovė Elite Medicale

Improvement and development of infrastructure of the provision of echoscopy services at PLC Elite Medicale

111

10. Private limited company Estetinės chirurgijos centras

Development of Day Surgery Division at PLC Estetinės Chirurgijos Centras 82.7

11. Private limited company Gydora Improvement of outpatient service infrastructure at PLC Gydora 65.312. Private limited company GK klinika Development of the quality and accessibility of the day surgery services by

modernisation of the infrastructure of PLC GK Klinika190.7

13. Private limited company Kardiolita Development of the quality and accessibility of the day surgery services by modernisation of the infrastructure of PLC Kardiolita

252.4

14. Private limited company Kėdainių šeimos klinika

Development of secondary outpatient echoscopy services by modernisation of infrastructure of PLC Kėdainių Šeimos Klinika

37.5



15. Private limited company Kuncų ambulatorinė klinika

Development of the quality and accessibility of the secondary outpatient services by modernisation of the infrastructure of PLC Kuncų Ambulatorinė Klinika

162.4

16. Private limited company Lietuvos ir Vokietijos uždaroji akcinė bendrovė Lirema

Improvement of the quality of outpatient services of the clinics of eye diseases PLC Lirema

150.8

17. Private limited company Lorna Development of infrastructure of secondary outpatient services at PLC Lorna 122.318. Private limited company Mano

gydytojasDevelopment of the quality and accessibility of the secondary outpatient personal health services by modernisation of the infrastructure of PLC Mano Gydytojas

31.6

19. Private limited company Medea klinika Development of the quality and accessibility of the public outpatient services provided at PLC Medea Klinika

51.7

20. Private limited company Northway chirurgijos centras

Development of day surgery services and infrastructure modernisation at PLC Northway Chirurgijos Centras

157.2

21. Joint stock company Ortopedijos technika

Development, improvement of the quality and accessibility of secondary outpatient and day surgery services at JSC Ortopedijos Technika

542.9

22. Private limited company Ortopedijos centras

Upgrade of infrastructure of PLC Ortopedijos Centras 51.4

23. Private limited company Panevėžio BMR diagnostika

Development of stationary services of PLC Panevėžio BMR Diagnostika 36.2

24. Private limited company Panevėžio medicinos centras

Modernisation of B. Paškevičienė private family outpatient clinic and optimisation of services. (Modernisation and optimisation of services of an outpatient clinic)

72.1

25. Sole proprietorship Gydytojos Linos Pališaitienės konsultacijų kabinetas

Improvement of the quality and accessibility of secondary outpatient personal health care services –echoscopy analysis at SP Gydytojos Linos Pališaitienės Konsultacijų Kabinetas

43

26. Private limited company Plungės klinika

Modernisation of the public outpatient personal health care services infrastructure at PLC Plungės Klinika

62.1

27. Sole proprietorship Gydytojų Pranevičių kabinetas

Purchase and modernisation of diagnostic medical equipment at Gydytojų Pranevičių Kabinetas

29.9



28. Private limited company Senojo bokšto klinika

Development of the quality and accessibility of the secondary outpatient services by modernisation of infrastructure of PLC Senojo Bokšto Klinika

116.1

29. Private limited company SK Impeks medicinos diagnostikos centras

Modernisation of the infrastructure of public outpatient and stationary services at PLC SK Impeks Medicinos Diagnostikos Centras

548.8

30. Private limited company Šiaulių chirurginės pagalbos centras

Development of public day surgery services at PLC Šiaulių Chirurginės Pagalbos Centras

140.3

31. Private limited company Šiaulių BMR diagnostika

Development of stationary services at PLC Šiaulių BMR Diagnostika 36.1

32. Private limited company Šnipiškių medicinos centras

Development of the infrastructure of public secondary outpatient echoscopy services at PLC Šnipiškių Medicinos Centras

44.6

33. Sole proprietorship A. Šimkaus, Therapia scientifica

Development of the quality and accessibility to the treatment of thyroid diseases by modernisation of infrastructure of SP Therapia Scientifica

35.1

34. Private limited company UMTC Modernisation of infrastructure of outpatient personal health care services provided by PLC UMTC

60.5

35. Private limited company Vilniaus sveikatos namai

Improvement of the quality and accessibility of secondary outpatient services by modernisation of the infrastructure of PLC Vilniaus Sveikatos Namai

235.3

36. Private limited company Vita longa Development of services provided by PLC Vita Longa by installation of modern medical diagnostic equipment and reconstruction of the premises of the secondary outpatient services

193.9

37. Private limited company Vitgelba Modernisation of infrastructure of public outpatient personal health care services provided by PLC Vitgelba

51.6


Private limited company Alytaus Medea klinika

1. Renovated reception at the first floor. 2. Renovated ultrasound room. Newly purchased equipment.

1.

2.


Private limited company Bendrosios medicinos praktika

3, 4. Renovated reception and surgery room.

3.

4.


Public limited company Kuncų ambulatorinė klinika

5, 6, 8. New echoscope, colonoscope and gastrofibroscope. 7. Repaired premises.

5. 8.

7.

6.


Private limited company Baltijos ir Amerikos terapijos ir chirurgijos klinika

9, 10. New cardiological ultrasound and surgery lamp including a monitor. 11. Renovated surgery division. 12. Newly purchased endoscopic and laparoscopic equipment.

9. 12.

11.

10.


Private limited company Kardiolita

13.

14.

13. Renovated surgery room, new surgery table. 14. New monitor of vital functions.


Private limited company sK Impeks medicinos diagnostikos centras

16.

15.

15–17. Renovated surgery room.


Private limited company sK Impeks medicinos diagnostikos centras

17.

Print run: 300 copiesPublished by UAB “Eugrimas”Gedimino pr. 21/2, LT-01103 Vilnius,Tel./fax.: 8 5) 273 3955, (8 5) 275 [email protected]

Printed by UAB “BALTO print”Utenos g. 41A, LT-08217 Vilnius

This photobook is meant for raising the awareness of the general public about the projects of the Lithuanian health care sector implemented and administered with the 2007-2013 EU structural funds.



1Įvadas

The employees of the European Union Support Division of the Ministry of Health are happy that the projects implemented with the 2007-2013 European Union funds helped to improve the quality of health care services for Lithuanian people.

Documents

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds